Care Referral Navigator - Health Access Specialist

Jobtome; Spring Valley (NV); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Health plan options

Health Savings Account

Dental & Vision

Life & AD&D

Disability Insurance

401(k) Savings Plan

Education Reimbursement

Employee Stock Purchase Plan

Employee Discounts

PTO + Holidays

Referral Bonus Program

Job summary

UnitedHealth Group in Las Vegas, NV is seeking a Referral Navigator to process referrals from Primary Care Providers for specialist care. This role involves building, submitting, and scheduling referrals, ensuring all documents are complete, and routing for MD review when necessary.

Most work is computer-based with significant paperwork, faxing, scanning, and phone calls. Schedule is Monday–Friday, 8:00 am–5:00 pm, at 2720 N Tenaya Dr, Las Vegas.

Qualifications

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

Responsibilities

• Build new referrals from network providers.
• Review referrals to ensure all documents are provided.
• Request additional information when needed.
• Cancel referrals not meeting criteria and route to MD review when needed.
• Determine if referrals meet outsource or overflow criteria.
• Perform heavy computer work with phone interactions; sedentary desk job.

Skills

Excellent communication

Phone etiquette

Bilingual English/Spanish

Education

High School Diploma/GED

CPR certification

2+ years health-related experience

Tools

EMR/Practice Management software

Job description

UnitedHealth Group in Las Vegas, NV is seeking a Referral Navigator to process referrals from Primary Care Providers for specialist care. This role involves building, submitting, and scheduling referrals, ensuring all documents are complete, and routing for MD review when necessary.

Most work is computer-based with significant paperwork, faxing, scanning, and phone calls. Schedule is Monday–Friday, 8:00 am–5:00 pm, at 2720 N Tenaya Dr, Las Vegas.