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 to start Caring. Connecting. Growing together.
As a Clinical Administrative Coordinator, you will be part of a care management team who will manage complex members. You will support the clinical team in assignment of new members to the clinical team, implementation of member care plans and coordination of member care needs.
This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8 - hour shift schedules during our normal business hours of 8am to 5pm. It may be necessary, given the business need, to work occasional overtime. This position is a remote - based position with a home - based office.
If you live preferably in the Northeast Region of New Mexico or within commutable distance, you will have the flexibility to work remotely* as you take on some tough challenges. ELIGIBLE CANDIDATES MUST RESIDE IN NM.
Primary Responsibilities:
Provide administrative support for field-based care teams
Receive and process electronic referral requests for care management services
Utilize phone system to respond to and transfer calls to appropriate individuals
Ask callers standard questions to understand requests, gather necessary information, and assess urgency
Perform member assignment in clinical system and set up case, monitor work queues and act on requests
Process correspondence; mail, fax, email
Create a positive experience and relationship with the member
Practice cultural sensitivity and cultural competence in daily care
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.
Years of post-high school education can be substituted/is equivalent to years of experience
Required Qualifications:
1+ years of experience in an office setting using the telephone and computer as the primary instruments to perform the job duties, OR Customer Service experience analyzing and solving customer's problems
1+ years of experience with MS Office, including Word, Excel, and Outlook
Designated workspace inside the home with access to high - speed internet availability
Proven ability to navigate a PC to open applications, send emails, and conduct data entry
Proven ability to remain stationary for long periods of time to complete computer or tablet work duties
Proven ability to communicate via phone and email
Proven ability to travel locally up to 10% of the time
Must be 18 years of age or older
Preferred Qualifications:
Experience working in Managed Care
Experience working in team-based care
Knowledge of Medicaid and / or Medicare population
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.