11 days old

Associate Clinical Administrative Coordinator - Las Vegas, NV

Las Vegas, NV 89101
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  • Job Code
    864703

Energize your career with one of Healthcare's fastest growing companies.


You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.


This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.


Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.


Under direct supervision, coordinates mental health, substance abuse and Employee Assistance Program services for members through careful telephone-based triage. Direct members to appropriate care settings within contracted network. Provide support, member satisfaction and resolution of concerns for the Utilization Management function of all members. Assist members with problem solving and support the efforts of other departments regarding retention of members through phone calls and/or meetings to resolve difficulties. Has direct contact with providers, members and third-party administrators. Documents calls in multiple systems including Facets, Macess and Pronto. Performs daily data entry tasks and individual projects as assigned.

 

Primary Responsibilities:

  • Process incoming member telephone calls. Each agent shall comply with customer service procedures and calls will be handled within department
  • Make available appropriate provider contact information as requested by members
  • Assist with scheduling appointments as needed. Appointments scheduled within department guidelines i.e. Routine within 2 weeks, urgent within 2 days, emergent non-life threatening with 24 hours, emergent life-threatening immediate referral to hospital/ER. Work with capitated provider networks to secure timely appointments as needed
  • Complete departmental documentation in Facets, Macess or EAP Nevada as appropriate. A Macess CSF is used for documentation at the time of all calls. Documentation may include demographics (patient & provider), description of present problem/issue(s), insurance/EAP information, services approved, disposition, DOS range, case manager assignment and letter to be generated from system
  • Data entry documentation: Callers name, author, DOS range, letter generated, provided information, insurance information and case manager assigned in 100% of cases
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.
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Posted: 2020-05-15 Expires: 2020-06-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Associate Clinical Administrative Coordinator - Las Vegas, NV

UnitedHealth Group
Las Vegas, NV 89101

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