Member Care Navigator & Referral Coordinator

Optum; Louisville (KY); Vor Ort; USD 32.000 - 42.000; Vollzeit

Zusammenfassung

UnitedHealth Group in Louisville, KY is seeking a CORE Coordinator to support members and providers through high-volume, phone-based care coordination and service referrals. The role focuses on intake management, referrals, prior authorizations, and non-clinical triage, with a requirement for evening hours and strong Word/Excel skills.

Ideal candidates will have a HS Diploma and 1+ year of customer service experience, and be capable of handling multiple screens while typing and talking.

Qualifikationen

• HS Diploma or GED required.
• 1+ year of customer service experience.
• Proficient with Word and Excel.

Aufgaben

• Manage the intake of members or the admission/discharge information post notification.
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers.
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles.
• Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention.
• Handle resolution/inquiries from members and/or providers.

Kenntnisse

Customer service

Typing while talking

Multitasking

Ausbildung

HS Diploma or GED

Tools

Microsoft Word

Microsoft Excel

Jobbeschreibung

UnitedHealth Group in Louisville, KY is seeking a CORE Coordinator to support members and providers through high-volume, phone-based care coordination and service referrals. The role focuses on intake management, referrals, prior authorizations, and non-clinical triage, with a requirement for evening hours and strong Word/Excel skills.

Ideal candidates will have a HS Diploma and 1+ year of customer service experience, and be capable of handling multiple screens while typing and talking.