Job Description

Job Description

This position is Field Based and requires regular travel to various locations as part of your daily responsibilities. 

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care. 

We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30am - 3:30pm It may be necessary, given the business need, to work occasional overtime.

We offer 8 weeks of paid training. The hours during training will be 7:30am to 3:30pm, Monday - Friday.

Primary Responsibilities:

• 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
• Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you'll also be the "go-to" resource for information. The flexibility to work evening hours will also be required

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
• Must be 18 years of age OR older 
• 1+ years of experience analyzing and solving customer problems
• 1+ years of experience working in the health care industry
• 1+ years of experience working with medical terminology
• Valid Driver's License
• Ability to keep all company sensitive documents secure (if applicable)
• Dedicated work area established that is separated from other living areas that provides information privacy
• Residing in a location that can receive a high-speed internet connection (additional information on UnitedHealth Group approved internet providers and restrictions will be provided)
• Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30am - 3:30pm It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 - $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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. 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

#RPO #RED 

Job Tags

Hourly pay, Minimum wage, Full time, Work experience placement, Work at office, Local area, Monday to Friday, Shift work, Afternoon shift,

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