Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealth Care Community & State.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
This is not an entry level position. You will be providing care coordination telephonically completing assessments and documentation within a clinical system while multitasking other applications gathering information to support members needs. Must have excellent typing, writing and grammar skills. Primary responsibilities are telephonic case management and some administrative responsibilities for the clinical department related to member care. This is a very fast-paced environment working with 10+ people. We are looking for a team player who is goal oriented, self-motivated, takes initiative and is willing to learn in a fast environment.
Provide exceptional customer service
Manage administrative intake and data entry for clinical team of membership
Work with providers and / or the clinical team to manage request for long term and respite services
Manage notifications, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
Receive care coordination notification cases for non-clinical assessment / intervention and provide appropriate triage
Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
Process and distribute custom reports to providers and clinical staff
Multitasking with multiple platforms and applications
Inbound / outbound phone calls to providers other internal departments to assist with notifications, documentation
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.