7 days old

Clinical Admin Coordinator - NC Remote - 919823

Durham, NC 27701 Work Remotely
  • Job Code
    919823

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM

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For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.

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The Clinical Administrative Coordinator supports the LTSS Care Management team with administrative and non-clinical duties essential for the successful delivery of a high-quality care management program.

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The Coordinator works collaboratively with LTSS Care Managers, provider agencies, social service program, state Medicaid representatives, and other departments within UnitedHealthcare.

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This position operates remotely and will require limited travel.

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If you are located in the North Carolina area, you will have the flexibility to telecommute* as you take on some tough challenges. Training will be conducted virtually from your home.

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Primary Responsibilities:

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  • Assigns and reassigns members to appropriate Care Manager under the direction of the Care Management Supervisor
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  • Monitors member list routinely to assure accurate assignment of all members
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  • Tracks Nursing Facilityand Inpatient census data via theBlended Census Reporting Tool (BCRT)
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  • Communicates member Inpatient status to the assigned Care Manager
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  • Updates Member demographic and placementchanges in CM system
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  • Assists with administrative/enrollment activities for special programs e.g. disease management, complex case management, behavioral health referrals
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  • Manages incoming communication calls/fax/email/tasking group- members/providers
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  • Assists with outgoing communication (calls/fax/email)
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  • Arrange member appointments w/ Care Manager
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  • Coordinate transportation for members
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  • Follow-up to ensure service utilization, meeting/not meeting needs
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  • Distribute service plans/plan of care, other communication to members/providers
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  • Review service utilization from Electronic Visit Verification (EVV) system, identify potential concerns and communicate with the Care Manager
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  • Assists with facilitating resolution for pharmacy issues
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  • Completes eligibility related activities- enrollment, disenrollment, tracking Nursing Facility census, etc.
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  • Posts member related documents to electronic filing system (shared drive/SharePoint)
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  • Documents all member related activities in Helios/Virtual Health
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  • Reminds members of need to complete Medicaid paper work to maintain eligibility
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  • Utilizes plan software to generate care management reports
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  • Performs other duties/projects as assigned
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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 higher)
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  • 2+ years of experience working directly with community members, health care providers, and coordinating services related to physical healthcare, behavioral healthcare, pharmacy and/or social determinants of health
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  • 2+ years of experience working in electronic health systems
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  • Intermediate experience in Microsoft Office Microsoft Word, Microsoft Excel and Microsoft PowerPoint (ability to create, edit, sort, and send documents, spreadsheets, and presentations)
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  • Ability to travel up to 5-10% of the time locally
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  • Ability to work Monday - Friday, 8-hour shifts during core business hours of 7am - 5pm EST, with flexibility to work occasional overtime per business needs
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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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Preferred Qualifications:

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  • Bachelors Degree (or higher) in Social Services with 3+ years case management experience (preference includes Medicaid experience, physical, or behavioral health care coordination
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  • Previous experience as an administrative care manager/coordinator in a managed health care environment
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  • Strong knowledge of local and community-based social service organizations
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  • Experience working with multi-disciplinary clinical teams
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Soft Skills:

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  • Excellent written and verbal communication skills
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  • Experience working independently, managing multiple and often competing demands
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  • Experience working with diverse populations
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  • Experience with collecting and analyzing data and writing reports
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Join us today and we can provide you with meaningful challenge that can result in a strong sense of impact and fulfillment. It's truly an opportunity to do your life's best work.SM

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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 healthcare here. We serve the healthcare 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 Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your lifes 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:UHC, NC Remote, Clinical, CAC, Healthcare,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #rpo

Categories

Posted: 2021-04-05 Expires: 2021-05-05

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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Clinical Admin Coordinator - NC Remote - 919823

UnitedHealth Group
Durham, NC 27701

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