- Assist management and clinicians to ensure the client's care is delivered in a timely manner and in compliance with state and federal regulations for home care through scheduling of patients at time of intake and throughout the certification period in compliance with physician orders.
- Assist the manager and clinicians to assure home care services including supervisory visits are scheduled and delivered in compliance with state and federal regulations through ongoing audit by monitoring of key reports and scheduling authorizations for on-going visits.
- Assure high quality customer service to all internal and external customers primarily through telephone communication by answering phone calls from patients and other health care system representatives to coordinate with office and field clinicians.
- Assist manager to ensure compliance with Human Resource requirements mandated by state and federal regulations.
- Assist manager with placement of overflow cases to contract agencies. Assure timely and accurate transfer of client information to assist manager through data entry into multiple information systems to assure compliance with state and federal regulations and quality client care.
- Assist manager to assure compliance and consistency with agency processes.
- Coordinate and arrange DME and other equipment as requested by clinicians and management.
- Other duties as assigned.
- High school diploma / GED
- Must be 18 years of age OR older
- 1+ years of experience working in Medical/Healthcare environment
- 1+ years of experience working in a fast-paced environment handling multiple phone calls
- Experience with EMR
- Experience with windows based programs including Microsoft Outlook, Excel
- Ability to work our normal business hours of 7:00am - 4:00pm PST. It may be necessary, given the business need, to work occasional overtime or weekends.
- 1+ years of experience in home care agency or other decentralized health care environment
- Experience handling escalated calls
- Bilingual fluency in English/Spanish
- Working knowledge of basic medical terminology
- Basic knowledge of home health requirements including regulatory requirements
- Good organizational skills
- Ability to problem solve
- Customer Service oriented
- Excellent communication skills
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clinical administrative coordinator - Las Vegas, NV, 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 Clinical Administrative Coordinator assists the leadership team and clinical staff for the Division by ensuring that scheduling, tracking and data entry requirements are coordinated to meet the client needs and State and Federal regulations.
Acts as the primary point of contact for incoming calls to the agency and takes the initial responsibility for incoming telephonic complaints or customer concerns.
Triages those calls to the appropriate individual for follow up and logs complaints following established company process. Utilizes multiple software programs.This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 7:00am - 4:00pm PST. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 2716 N Tenaya Way Las Vegas, NV.
We offer weeks of on-the-job training. The hours of the training will be 7:00am - 4:00pm PST, 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:
Soft Skills:
Nevada Residents Only:
The hourly range for Nevada residents is $ $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
