Care Navigator

ISHE; Dallas, Northern (TX, KY); Hybrid; USD 28,000 - 50,000; Full time

Job summary

UnitedHealth Group is seeking a Telehealth FMC program agent for a National Remote role in the United States. The position conducts telephonic outreach to recently discharged members, assists with transportation, medication, and PCP follow-up, and documents conversations in Pathway.

Must have 2+ years in clinical or outpatient settings and be able to work 8-hour shifts during Pacific business hours with occasional overtime.

Qualifications

• Minimum education required: high school diploma or GED or equivalent.
• Experience in telecommunication with patients/matients preferred.
• Must be 18+ and able to work full-time.
• Clerical/administrative skills and ability to document conversations clearly.

Responsibilities

• Guiding members on utilization of plan benefits and follow-up with PCP
• Documenting member conversations in Pathway and ensuring accurate FMC assessment
• Transferring members to Member Services for follow-up
• Providing coverage to colleagues on PTO as needed
• Adhering to telecommuter policy and security requirements

Skills

Strong communication skills

Team collaboration

Education

High School Diploma / GED OR equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft Office

Job description

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Telehealth FMC program is a non-clinical- non, non-licensed healthcare resource that conducts telephonic outreach to members who have recently discharged from the hospital. The agent provides resource assistance to members providing information regarding transportation, medication and primary care follow-up services. This assists the member in ensuring timely follow-up with Primacy care providers (PCPs), transportation services to appointments and medication follow-up.

This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30 am - 5:00pm PST. It may be necessary, given the business need, to work occasional overtime.

We offer 1 week of paid training. The hours during training will be 8:30am to 5:00pm CST, Monday - Friday after they will move to the on-the-job training program during normal work schedule.

Primary Responsibilities:

• Guiding members on utilization of plan benefits such as follow-up with PCP, transportation and medication follow-up.
• Completing the FMC assessment in Pathway and accurately documenting member conversations.
• Transferring members to member services when needed for follow-up.
• Other duties as assigned.
• Provide coverage to colleagues when on PTO as needed.

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.

Required Qualifications:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 2+ years experience working in a physicians office, Skilled Nursing Facility (SNF), Assisted Living Facility (ALF), or outpatient clinic with medical team communication and collaboration
• 2+ years of experience with handling inbound and/or outbound calls with patients / members
• Ability to work an 8-hour schedule during the work hours of 7:30am-5:00pm Pacific, Monday-Friday

Preferred Qualifications:

• Experience in Microsoft Word (edit, create, and save documents), Microsoft Excel (adding, sorting and filtering data) and Microsoft Office (email, folders, attachments, and calendar)
• Administrative and organizations skills. Ability to self-direct work, multitask multiple deliverables

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Strong telephonic and written communication skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $20 - $36 hourly based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline:

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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