Referral Navigator: Care Coordination & Scheduling

Optum; Whitney (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

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits

Job summary

Optum is seeking a Referral Navigator at our Las Vegas, NV location to process referrals from primary care providers for specialist care. The role involves building, reviewing, and scheduling referrals, confirming required documents, and coordinating with internal and external networks. Most tasks are computer-based, with some paperwork, faxing, and calls.

Schedule: Mon-Fri, 8:00 am – 5:00 pm. Qualifications include a High School Diploma or GED, CPR certification or the ability to obtain it

Qualifications

• High School Diploma or GED.
• 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 EMR and/or Practice Management Software.

Responsibilities

• Build new referrals from network providers.
• Review to ensure all documents/information are provided.
• Request additional information when needed and return documents accordingly.
• Cancel referrals not meeting criteria or without required information within the time frame; forward to MD review if questionable.
• Accept referrals and determine if they meet outsource or overflow criteria.
• Perform tasks on computer, with paperwork, faxing, scanning and phone calls.

Skills

Excellent communication

Phone etiquette

Bilingual English/Spanish

Education

High School Diploma/GED

CPR certification within 30 days

Job description

Optum is seeking a Referral Navigator at our Las Vegas, NV location to process referrals from primary care providers for specialist care. The role involves building, reviewing, and scheduling referrals, confirming required documents, and coordinating with internal and external networks. Most tasks are computer-based, with some paperwork, faxing, and calls.

Schedule: Mon-Fri, 8:00 am – 5:00 pm. Qualifications include a High School Diploma or GED, CPR certification or the ability to obtain it