Clinical Administrative Coordinator - North Carolina

Optum; United States; Remote; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid time off

Medical, dental, vision insurance

401(k) Savings Plan

Education reimbursement

Job summary

UnitedHealth Group seeks a Clinical Administrative Coordinator to support the Transition of Care team for North Carolina Managed Medicaid. You will handle communications, document member activities in the case management platform, and coordinate disenrollment and transitions to ensure continuity of care.

This role offers Monday–Friday hours, telecommuting from within North Carolina, and opportunities to contribute to a broad care team.

Qualifications

• High School Diploma or GED required.
• 1+ years customer service experience.
• 1+ years working in electronic health systems.
• Proficiency with Microsoft Office (Excel, Word, PowerPoint).
• Must have access to high-speed internet and a dedicated PHI-secure home workspace.

Responsibilities

• Manage and triage health plan communications.
• Route member and provider inquiries to appropriate teams.
• Document member activities in the Community Care case management platform.
• Coordinate disenrollment notifications and transitions.
• Generate and distribute care management reports.
• Manage intake activities and departmental trackers and SharePoint sites.
• Perform additional duties and special projects.

Skills

Customer service

Electronic health records

MS Office

PHI handling

Home office setup

Education

High School Diploma/GED

Tools

SharePoint

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

This Clinical Administrative Coordinator (CAC) position supports the Transition of Care (TOC) team within UHC's North Carolina Managed Medicaid program. Transition of Care helps members continue receiving needed healthcare services when they experience a change in Medicaid coverage or move between health plans. This is accomplished through coordination and communication among health plans, providers, care management teams, and members. The CAC plays a key role in processing notifications and completing daily tasks that support a smooth transition and continuity of care for members.

Schedule: Monday through Friday 8:00 am to 5:00 pm

You'll enjoy the flexibility to telecommute* from anywhere in North Carolina as you take on some tough challenges.

Primary Responsibilities:

• Manage and triage incoming and outgoing health plan communications, including the Case Management phone line, shared email inbox, and fax line
• Respond to members and provider inquiries by routing requests to the appropriate department or team member for resolution
• Accurately document member activities, referrals and interactions in the Community Care case management platform
• Coordinate daily disenrollment notifications and perform administrative activities that support members transitioning into and out of the health plan
• Generate, manage and distribute care management and Transition of Care reports using plan systems and reporting tools
• Manage member intake activities and maintain departmental trackers, databases, and SharePoint sites
• Perform additional duties and special projects assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

Required Qualifications:

• High School Diploma/GED
• 1+ years of customer service experience
• 1+ years of experience working in electronic health systems
• Intermediate level of proficiency with Microsoft Office - Excel, Word, PowerPoint, etc. (ability to create, edit, sort, and send correspondences, spreadsheets, and presentations)
• Live in a location that can receive an approved high-speed internet connection or leverage an existing high-speed internet
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

Preferred Qualifications:

• Previous experience as an administrative care manager/coordinator in a managed health care environment
• Experience working independently, managing multiple and often competing demands
• Experience working with multi-disciplinary clinical teams
• Experience with collecting and analyzing data and writing reports
• Experience with Medicaid members
• Experience working with diverse populations
• 2+ years of experience working with local and community-based social service organizations

Soft Skills:

• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines

*All Telecommuters 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 hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

#RPO #GREEN