Description

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

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Summary: Case management is the collaborative process that assesses plans, implements, coordinates, monitors and evaluates the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost-effective outcomes. Coordinators are responsible to assist with the identification, screenings and coordination of all healthcare services provided to a select managed care population.

Definitions: Ambulatory Case management is defined as an established case management programs that assist in the delivery of quality care to enrolled patients.

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 7:30 am - 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

Primary Responsibilities:

• Provides administrative support to ACM Nursing staff.
• Data entry of admits, discharge for ACM programs.
• Creates, maintains and processes system reports as required.
• Responsible to maintain filing system; including but not limited to, organization, retrieving and purging.
• Maintain regular and consistent attendance.
• Acts as initial contact and resource for all ACM programs.
• Assists with the coordination of discharge planning, under the direction of the ACM nurse, as required.
• Communicates with members, family or caregiver when appropriate, as directed by ACM nurse.
• Maintains confidentiality of all member information and MHC business.
• Assists ACM staff with referrals for members to appropriate Health Plan, State or Federal Disease/Condition Management programs as required.
• Acts as resource for department staff, inter-departmental staff, Health Plans and HealthCare Team.
• Presents as a professional representative of Optum.
• Maintain and comply with all Optum policy and procedures.
• Perform any/all additional tasks as assigned by ACM Nurses, Supervisor and Manager.
• Other duties as assigned.

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 equivalent work experience
• Must be 18 years of age OR older
• 2+ years of customer service work experience
• Experience Delivering customer service support through lengthy phone calls, actively listening and responding to customer needs
• Experience with computers including Windows based programs including Microsoft Word, Excel, Outlook, Teams
• Ability to work 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 7:30 am - 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• 2+ years of work experience in a medical back office or medical/healthcare field
• Managed care experience
• Knowledge of medical terminology
• General knowledge of managed care, third party payers, regulatory requirements and government entitlement programs

Telecommuting Requirements:

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

Soft Skills:

• Excellent communication skills, particularly telephone skills.
• Self-motivated with effective critical thinking skills.
• Ability to work collaboratively.
• Ability to multi-task and support other areas of the department as needed.

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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 $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.