CARE Clinical Administrative Coordinator - National Remote

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life's best work.SM

This position is full-time. Employees are required to work our normal business hours. It may be necessary, given the business need, to work occasional overtime or weekends.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

• Manage incoming calls from members on VCC
• Monitor Group email boxes for communications from members, Plan Advisors, UMR Upper Management
• Communicate with Supervisor/Manager r/t member issues/ member referrals
• Assign members to RN/SW based on assignment workflows
• Ensure that all potential member needs are identified and processed to appropriate Team member and management
• Communicate with other UMR teams including UM, CM, OCC, Plan Advisors, Customer Service Rep, etc. as needed to follow-up on requests by our Team
• Email list of INN Provides to members as requested by Team
• Monitor Vivify app for alerts, follow WF for how to assign to RN/SW
• Keep lines of communication open with SMEs
• Keep Spreadsheets on TEAMs up to date, including adding monthly tabs
• CAC will need to be able to anticipate member non-clinical needs, for ex: CAC will know who to refer member with Benefit questions to the Plan Advisor or Customer Service Rep
• CAC will understand how to use HPDB
• CAC will take notes during TEAM meetings
• CAC can monitor spreadsheets on TEAMs and assist RN/SW as needed with filling in Stats
• Assist RN/SW with administrative tasks
• Act as a Subject Matter Expert for other team members
• Manage the intake of members or the admission/discharge information post notification
• Work with hospitals, clinics, facilities, and the clinical team to manage requests for services
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification, and census roles
• Resolve inquiries from members and/or providers

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED (or higher)
• 2 years of experience analyzing and solving customer problems
• Experience working with medical terminology
• Experience working in the health care industry

Preferred Qualifications:

• Experience working with health care insurance
• Experience working with Medicare and/or Medicaid Services
• Experience in a hospital, physician's office, or medical clinic setting
• Clerical or administrative support background or experience working in a call center environment

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Careers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

California, Colorado, Connecticut, Nevada, Washington or New York City Residents Only: The salary range for California / Colorado / Connecticut / Nevada / Washington / New York City residents is $18.80 - $36.78. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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