- Applies knowledge and skills to a range of moderately complex activities
- Demonstrates knowledge and expertise and skills in own function and processing of authorizations and- tasks
- Acts as a technical resource for others to process work
- Proactively identifies solutions to non-standard questions and requests
- Solves moderately complex problems independently
- Works with team to solve complex problems
- Helps to coordinate work of other coordinators to meet turnaround times
- Actively works to provide solutions that will improve departmental communication resources and workflows
- Acts as resource and liaison for Clinical Services Department staff, inter- departmental staff, health plans and provider offices
- Generates, maintains and processes system reports as required
- Supports team functions including but not limited to maintaining assignments, quality assurance of authorization preparation for nurses and support of the retro claims review process
- Assists in orienting new staff, provides training and coaching of staff when training needs are identified
- Promotes teamwork and collaboration within the department
- Maintains accuracy of the coordinator process tool
- Utilizes on line systems to access required information for the team
- Acts as initial contact and resource related to outreach, screening and education of providers for authorization processing
- Communicates with members, family or caregiver when appropriate on escalated issues
- Performs other duties as assigned
- Processes work as assigned within established timeframes and productivity goals using department resources and procedures with minimal oversight
- Enters referral requests into on-line system and reviews and approves requests per coordinator process tool
- Verifies eligibility and benefits
- Manages and triages calls for the team utilizing standard protocols
- Communicates with members, family or caregiver for expedited initial organization determination (EIOD) calls
- Follows standardized documentation protocols when reviewing referral requests
- Maintains confidentiality of all member information and Monarch business
- Prioritizes and organizes own work to meet turnaround time and deadlines
- Maintains a professional demeanor at all times and models company core values of integrity, compassion, relationships, innovation and performance
- Maintains regular and consistent attendance
- Performs other duties as assigned
- 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:
- High School Diploma / GED (or higher)
- 1+ years of experience working in a medical environment
- Ability to mentor and train others
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inpatient care coordinator - , CA, United States - UnitedHealth Group Inc.
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.
Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.Come make an impact on the communities we serve as you help us advance health equity on a global scale.
Join us to start Caring. Connecting. Growing together.The Inpatient Care Coordinator performs a wide variety of duties associated with patient services.
This position is responsible for all components of the patient experience ranging from patient in-take, office visit, patient close-out, and appointment scheduling.
The position also oversees the reporting function for the clinic including compliance specific reports as well as corporate statistics.Schedule:
Monday - Friday, 8:00AM - 5:00PM
Location: 7 Technology Drive, Irvine, CA. This position is a hybrid opportunity.
Primary Responsibilities:
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:
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:
California Residents Only:
The hourly range for California residents is $19.47 to $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable.
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
