Job Details2024-05-20T13:50:10+00:00

Senior Clinical Administrative Coordinator – Community Transitions Program

Requisition Number: 2308121
Job Category: Medical & Clinical Operations
Primary Location: Dallas, TX
(Remote considered)

Doctor consulting nurse at nurse station.

Careers at UnitedHealth Group

We’re creating opportunities in every corner of the health care marketplace to improve lives while we’re building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life’s best work.SM

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Compassion. It’s the starting point for health care providers like you and it’s what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work.SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you’ll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life’s best work.SM

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.

The community transitions program, inbound line coordinator is responsible for conducting initial telephonic triage and the first point of contact for members and providers calling into the CTP Program. Initial outreach was performed through an auto dialer. The program allows for telephonic triage, gathering pertinent information and route calls to clinicians for further assessment and coordination. This position allows a smooth transition from initial member intake to the clinical triage process. This is a fast – paced, high volume, call center environment, virtually from their own home.

This position is full time, Monday – Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 7:45 AM – 4:15 PM CST. It may be necessary, given the business need, to work occasional overtime.

We offer 2 – 3 weeks of paid training. The hours during training will be 7:45 AM – 4:15 PM CST from Monday – Friday. Training will be conducted virtually from your home.

 

Primary Responsibilities:

  • Receives inbound calls from members who have been auto – dialed, triages call and transfers them to the clinical team for post discharge transitions of case assessment
  • Influences members to be transferred to the clinical team for further engagement
  • Ask members questions and actively listens to members responses
  • Accurately document pertinent information to be shared with clinical team
  • Provides excellent customer service to both members and providers
  • Ability to navigate multiple technology systems while talking on the phone with members
  • Maintains confidential health information according to state and federal regulations including HIPAA
  • Consistently meets metrics, for quality, productivity, and outcomes
  • Constantly maintains schedule adherence and good attendance

 

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
  • 1+ years of call center and / OR telephonic customer service experience, preferably in healthcare
  • 1+ years of healthcare experience and / OR social work / community outreach / advocacy experience
  • 1+ years of work experience with the Medicare Population and / OR Medicaid, DSNP, CSNP Populations 
  • Work experience with using Microsoft Word (edit, create, & save documents), Microsoft Excel (sorting & filtering data), and Microsoft Outlook (email, folders, attachments, & calendaring)
  • Must have capability to work from home (dedicated workspace, high – speed internet available in the area, and able to hardwire to a modem). Must be willing to work in the local office if / when system or internet issues occur.
  • Ability to work any of our shift schedules during our normal business hours of 7:45 AM – 4:15 PM CST from Monday – Friday. It may be necessary, given the business need, to work occasional overtime.

 

Preferred Qualifications:

  • Bilingual fluency in English and Spanish OR any other language

 

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:

  • Must be comfortable working in a fast – paced, high – volume, call center environment
  • Must be able and comfortable with meeting / exceeding metrics and goals within the department
  • Must be comfortable working on the phone and navigate multiple systems on the computer simultaneously while assisting / serving members
  • Must be comfortable taking telephonic phone calls from members without prior engagement
  • Telephone etiquette: Demonstrate professionalism and compassion
  • Excellent Organizational Skills
  • Serving customers
  • Being accountable
  • Influencing Others
  • Delivering Results

 

*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 $20.00 – $35.72 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.

 

#RPO

Additional Job Detail Information

Requisition Number 2308121

Business Segment OH Risk Ops & Ent Clin Srvcs

Employee Status Regular

Job Level Individual Contributor

Travel No

Additional Locations
Tampa, FL, US
Phoenix, AZ, US
Hartford, CT, US
Minneapolis, MN, US

Overtime Status Non-exempt

Schedule Full-time

Shift Day Job

Telecommuter Position Yes

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