Care Referral Specialist — Elevate Access & Outcomes

Optum; Enterprise (NV); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

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

Voluntary Benefits

Job summary

Optum is a global organization delivering care enhanced by technology to help millions live healthier lives. The Referral Navigator processes referrals from Primary Care Providers to obtain specialist care across internal and network providers.

The role involves building, submitting, reviewing, and scheduling referrals, ensuring complete documentation, and coordinating through a busy office environment. Schedule is Monday to Friday, 8:00 am to 5:00 pm, at the Las Vegas location.

Qualifications

• High School Diploma or GED required.
• CPR certification or able to obtain within 30 days of employment.
• 2+ years of experience in a health-related field.
• 2+ years of experience with Electronic Medical Records (EMR) and/or Practice Management Software systems.
• Bilingual in English/Spanish preferred.

Responsibilities

• Build new referrals from network providers.
• Review referrals to ensure all documents are provided.
• Return documents for additional information when needed.
• Cancel referrals not meeting criteria within the time frame; forward for MD review if questionable.
• Accept referrals and determine if they meet outsource or overflow criteria.
• Perform extensive computer work, paperwork handling, faxing, scanning, and multi-line phone duties.

Skills

Excellent communication skills

Bilingual English/Spanish

Education

High School Diploma/GED

CPR certification or able to obtain within 30 days

Job description

Optum is a global organization delivering care enhanced by technology to help millions live healthier lives. The Referral Navigator processes referrals from Primary Care Providers to obtain specialist care across internal and network providers.

The role involves building, submitting, reviewing, and scheduling referrals, ensuring complete documentation, and coordinating through a busy office environment. Schedule is Monday to Friday, 8:00 am to 5:00 pm, at the Las Vegas location.