14 days old

Triage Analyst - Phoenix, AZ - 928608

Phoenix, AZ 85003
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  • Job Code
    928608

For those who want to be a part of the future of health care, heres your opportunity. As part of our quality management team, youll help assist the Clinical Quality Analyst with multiple aspects of quality of care (QOC) investigation which includes management of the regulatory Incident/Accident/Death (IAD) portal, opening and managing cases in the internal QOC data base, triaging cases and initiating medical record retrieval based upon clinical judgement. All the while, youll be building your career with a leader and reaching for the highest levels of performance as you do your life's best work.SM

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This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 1 East Washington Street, Phoenix, AZ 85004. There is a potential for of 50% telecommute work and 50% in-office work based on performance metrics.

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Primary Responsibilities:

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  • Manage and triage QOC referrals from internal and external sources
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  • Create and maintain confidential electronic investigation files for QOC cases
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  • Create and manage entries into the regulatory IAD portal
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  • Initiate medical record requests for QOC investigations based upon clinical nursing judgement
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  • Collaborate internally with Clinical Quality Analysts and staff in other UHCCP departments
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  • Manage multiple tasks and projects and changing priorities; prioritize work products effectively
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This is a challenging role with serious impact. Its a fast-paced environment that takes focus, intensity and resilience.

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Youll 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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Required Qualifications:

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  • High School Diploma / GED (or igher)
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  • Proficiency with Microsoft Word (ability to open, edit, save and send documents), Microsoft Excel (ability to work with multiple data bases to retrieve and enter information) including the ability to learn new and complex applications
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  • Experience working in the health care industry
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  • Knowledge of Medicare/Medicaid regulations
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  • Active, unrestricted LPN license OR equivalent work experience
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  • Must reside in the Phoenix, AZ area
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferenced Qualifications:

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  • 2+ years of experience working as a Licensed Practical Nurse
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Soft Skills:

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  • Experience working in a deadline driven environment prioritizing responsibilities.
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UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

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You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM

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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.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Keywords: Healthcare, health care, Managed Care, Claims, Customer Service, Claims Recovery, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

Posted: 2021-06-09 Expires: 2021-07-09

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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Triage Analyst - Phoenix, AZ - 928608

UnitedHealth Group
Phoenix, AZ 85003

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