Referral & Care Coordination Specialist

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

Benefits offered by this job

PTO

Health plan

Dental

Vision

401(k)

Education reimbursement

Employee discounts

Referral bonus

Job summary

UnitedHealth Group is seeking a Referral Navigator in Las Vegas to process referrals from primary care providers for access to specialist care. The role involves reviewing documents, routing referrals, contacting providers, and coordinating with internal and external networks.

Office hours are Monday–Friday, 8:00 am–5:00 pm, with a predominately desk-based, computer-driven workflow. Required qualifications include a high school diploma, CPR certification, and 2+ years in health-related fields

Qualifications

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

Responsibilities

• Build referrals from network providers and internal PCPs.
• Review documents to ensure all information is provided.
• Send back documents for additional information as needed.
• Cancel referrals not meeting criteria within the time frame; forward for MD review when needed.
• Accept referrals and determine outsource/overflow eligibility.
• Desk-based work with substantial paperwork, faxing, and phone calls.

Skills

EMR/Practice Mgmt Software

Health-related experience

CPR certification

Education

High School Diploma/GED

Job description

UnitedHealth Group is seeking a Referral Navigator in Las Vegas to process referrals from primary care providers for access to specialist care. The role involves reviewing documents, routing referrals, contacting providers, and coordinating with internal and external networks.

Office hours are Monday–Friday, 8:00 am–5:00 pm, with a predominately desk-based, computer-driven workflow. Required qualifications include a high school diploma, CPR certification, and 2+ years in health-related fields