Care Coordination Specialist - Referrals

Jobtome; Las Vegas (NV); Presencial; USD 25.000 - 44.000; Tempo integral

Benefícios oferecidos por esta vaga

Paid Time Off

Medical Plan options

Dental, Vision, Life & AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Resumo da vaga

UnitedHealth Group's Optum unit in Las Vegas is seeking a Referral Navigator to process referrals from Primary Care Providers for specialist care, ensuring documents are complete and routed correctly. You will build, review and schedule referrals, request missing information, and coordinate with internal and external providers, in a desk‑based role with extensive phone work.

Schedule is Monday–Friday 8:00 am–5:00 pm at 2720 N Tenaya Dr, Las Vegas, NV 89128.

Qualificações

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

Responsabilidades

• Building new referrals from network providers.
• Reviewing to ensure all necessary documents and information have been provided.
• Sending back documents for additional information.
• Canceling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable.
• Accepting referrals and determining if meets outsource or overflow criteria.
• While most of the work is computer-based, there is a lot of paperwork handling, faxing, and scanning in addition to multiple telephone calls.
• This is primarily a sedentary desk job which will consist of 90% of time spent working on a computer and handling the telephone.
• Perform all other duties assigned.

Conhecimentos

Communication skills

Phone etiquette

Bilingual English/Spanish

Formação

High School Diploma/GED

Ferramentas

EMR software

Practice Management Software

Descrição da vaga

UnitedHealth Group's Optum unit in Las Vegas is seeking a Referral Navigator to process referrals from Primary Care Providers for specialist care, ensuring documents are complete and routed correctly. You will build, review and schedule referrals, request missing information, and coordinate with internal and external providers, in a desk‑based role with extensive phone work.

Schedule is Monday–Friday 8:00 am–5:00 pm at 2720 N Tenaya Dr, Las Vegas, NV 89128.