Care Referral Specialist & Health Network Navigator

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

Benefits offered by this job

Paid Time Off

Medical Plan

Dental Insurance

Vision Insurance

Life & AD&D

Short-term Disability

Long-term Disability

401(k) Savings Plan

Stock Purchase Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Referral Bonus

Job summary

UnitedHealth Group is seeking a Referral Navigator to process referrals from Primary Care Providers for specialist access. You will build, review, and schedule referrals, ensuring all required documents are present and routing issues appropriately.

Role requires 2+ years in health-related fields and EMR/PM software experience. The position offers a Monday–Friday schedule in Las Vegas, NV with comprehensive benefits and opportunities for growth.

Qualifications

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

Responsibilities

• Build new referrals from network providers.
• Review to ensure all necessary documents and information are provided.
• Send back documents for additional information.
• Cancel those not meeting criteria or missing information within a timeframe; forward to MD review if questionable.
• Accept referrals and determine if outsource or overflow criteria apply.
• Desk-based work with >90% computer and telephone time; paperwork, faxing, scanning.

Skills

Excellent communication

Phone etiquette

Education

High School Diploma/GED

CPR certification

Tools

EMR/Practice Management Software

Job description

UnitedHealth Group is seeking a Referral Navigator to process referrals from Primary Care Providers for specialist access. You will build, review, and schedule referrals, ensuring all required documents are present and routing issues appropriately.

Role requires 2+ years in health-related fields and EMR/PM software experience. The position offers a Monday–Friday schedule in Las Vegas, NV with comprehensive benefits and opportunities for growth.