- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
- Establishes a trusting relationship with identified patients, caregivers, clinic staff and physicians.
- Keeps patients actively engaged with their primary care physician and assists patient with any scheduling medical appointments/transportation.
- Partners with the patients care team (community, providers, internal staff).
- Serves as primary point of contact for internal and external stakeholders.
- Provides guidance and inquires if patients need help with any specific barriers to healthcare through telephonic outreach to assist patient's compliance with their care plans.
- Identifies health plan resources or local community resources to provide solutions for the patient.
- Engages patient, family, and caregivers to assure that a well-coordinated treatment plan is established.
- Creates referrals to outside source(s) to assist with patient's self-management goals.
- Supports the patient to ensure pick-up and adherence of their medications.
- Proactively engages the patient to manage their care.
- Liaisons with providers and facilities telephonically, to assist in problem solving regarding patient needs.
- Communications with internal staff, patient/caregiver and community providers must be accurate and timely.
- Patient outreach using compassionate customer service with the goal to inform them of care gaps and facilitate the closing of those gaps.
- Documents all patient interactions in a concise manner that is compliant with documentation requirements for Model of Care and Center for Medicare and Medicaid Services (CMS) regulations.
- Conducts in-bound and out-bound calls including, but not limited to: patient scheduling, surveys/screenings, census management and distribution of materials to appropriate clinical personnel or patients.
- Provides clerical and/or administrative support to clinical staff and managers.
- Enters timely and accurate data into the electronic medical record to communicate patient needs and ensure complete documentation of patient visits and phone calls.
- Performs all duties for internal and external customers in a professional and responsible manner.
- Adheres to organizational and departmental policies and procedures.
- Performs all other related duties as assigned.
- High School Diploma / GED OR equivalent years of experience
- Must be 18 years or older
- 2+ years experience in a physician's office, clinical/hospital setting, or Medical insurance company
- Experience communicating productively with individuals and within multidisciplinary teams
- Experience with windows based programs including Microsoft Word, Excel, Access and Outlook
- Ability to work our normal business hours of 8:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.
- 3+ years of experience working in a physician's office, clinical/hospital setting or Medical insurance company
- Bilingual fluency in English / Spanish
- Experience working with Special Needs Population
- Basic understanding of Medicare and Medicaid health plans
- Experience working with psychiatric and geriatric patient populations
- Reside within 100 miles from 909 Hidden Ridge Irving, TX
- 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.
- Excellent verbal and written communication skills.
- Excellent organizational and prioritization skills.
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care advocate - Irving, TX, United States - UnitedHealth Group Inc.
Description
If you are located within 100 miles from 909 Hidden Ridge Irving, TX, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors.
Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them.
We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.
The primary responsibility of the Care Advocate is to identify, track, monitor, and coordinate the care of patients enrolled in Care Management programs.
As a Care Advocate, you will act as a resource and advocate for patients and their families to ensure an optimal level of health.
This position is responsible for communication to patients, physicians and other care management team serving as a liaison with external departments to ensure optimal customer service.
This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 909 Hidden Ridge Irving, TX.We offer weeks of on-the-job training. The hours of the training will be 8:00am - 5:00pm CST, Monday-Friday.
Primary Responsibilities:
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:
Preferred Qualifications:
Telecommuting Requirements:
Soft Skills:
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for 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 #YELLOW
