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UnitedHealth Group Mission Viejo, United StatesOptum 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 ...
Patient Care Coordinator - Mission Viejo, United States - Optum
Description
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.
Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities andyour life's best work. SM
Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience.
From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone.
At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.Schedule:
Monday - Friday, 8:00AM - 5:00PM
Location:
26991 Crown Valley Pkwy, Mission Viejo, CA
Primary Responsibilities:
Manage and submit daily request for referrals/authorizations
Maintains on-going and consistent tracking of all referrals/authorizations
Work with providers and staff to ensure completeness of documentation to facilitate the referral/authorization process
Assist physicians, as required in coordination of care for patients
Contact IPA and Health Plans to ensure prior approval requirements are met
Assemble information concerning patient's clinical background and referral needs, per referral guidelines and provide appropriate clinical information to specialists
Ensure referral/authorizations are addressed in a timely manner
Review details and expectations about referrals with the patients
Point of contact for patients who raise questions and concerns about referrals/authorizations
Works collaboratively with Centralized Services to support patient needs
Establish and maintain relationships with service providers for patient's coordination of care
Ensures work is being performed according to company policies, procedures, and standards
Provides high quality care and service excellence to our patients
Performs other administrative and clerical duties as assigned
Participates in a variety of department initiatives
Ensures all OSHA, HIPAA, and other regulations are followed
Follows proper reporting protocols for any compliance or incident reporting as needed
Maintains strict patient and employee confidentiality
Other duties and responsibilities, not specifically described, maybe defined, or assigned from time to time, consistent with knowledge, skills and abilities of the incumbent by management
What are the reasons to consider working for UnitedHealth Group?
Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.
Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at:
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 higher)
1+ years of medical front desk experience
1+ years of electronic medical record experience
1+ years of health plan insurance knowledge
Beginner level of proficiency with MS Office (Word, Excel, Outlook, etc.)
Preferred Qualifications:
Experience with data analysis software
Bilingual (English / Spanish)
California Residents Only:
The hourly range for California residents is
$16.54 to $32.55
per hour
. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
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.#RPO #RED
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