Care Coordination Referrals Specialist

Optum; Blue Diamond (KY); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental Insurance

Vision Insurance

Life/AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Referral Bonus Program

Voluntary Benefits

Job summary

UnitedHealth Group is seeking a Referral Navigator to process referrals from Primary Care Providers for specialist care, coordinating with internal and external networks. The role involves building, reviewing, and routing referrals, verifying documents, and contacting providers as needed.

Schedule: Monday–Friday, 8:00 am–5:00 pm, located at 2720 N Tenaya Drive, Las Vegas, NV 89128. This desk-based role is primarily computer work with phone calls, and offers a comprehensive benefits package and

Qualifications

• High School Diploma/GED.
• CPR certified or able to obtain within 30 days.
• 2+ years of experience in a health-related field.
• 2+ years of experience with EMR and/or Practice Management Software.

Responsibilities

• Build new referrals from network providers.
• Review to ensure documents are complete.
• Send back documents for additional information.
• Cancel referrals not meeting criteria within set time frame and forward for MD review.
• Accept referrals and determine outsourcing or overflow eligibility.
• Desktop work with heavy phone use and paperwork.

Skills

Excellent communication

Phone etiquette

Education

High School Diploma/GED

Tools

EMR systems

Practice Management Software

Job description

UnitedHealth Group is seeking a Referral Navigator to process referrals from Primary Care Providers for specialist care, coordinating with internal and external networks. The role involves building, reviewing, and routing referrals, verifying documents, and contacting providers as needed.

Schedule: Monday–Friday, 8:00 am–5:00 pm, located at 2720 N Tenaya Drive, Las Vegas, NV 89128. This desk-based role is primarily computer work with phone calls, and offers a comprehensive benefits package and