Referral Navigator: Healthcare Access Specialist

Optum; North Las Vegas (NV); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan

Dental & Vision

Life Insurance

401(k)

Education Reimbursement

Employee Discounts

EAP

Referral Bonus

Voluntary Benefits

Job summary

Optum is seeking a Referral Navigator in Las Vegas, NV to manage referrals from primary care providers for specialist care through our internal and network providers. This role involves building and reviewing referrals, communicating to obtain missing information, and ensuring timely processing.

It is a sedentary desk job with heavy computer and phone use, based in Las Vegas. Schedule is Monday to Friday, 8:00 am to 5:00 pm, with competitive benefits and pay.

Qualifications

• High School Diploma or GED is required.
• CPR certification or ability to obtain within 30 days of employment.
• Minimum 2 years of experience in a health-related field.
• Minimum 2 years of experience with Electronic Medical Records (EMR) or Practice Management Software.

Responsibilities

• Build new referrals from network providers and primary care sources.
• Review referrals to ensure all documents are provided.
• Return documents for additional information as needed.
• Cancel referrals not meeting criteria within specified time frames and forward to MD review as needed.
• Accept referrals and determine if they meet outsource or overflow criteria.
• Perform desk-based work and phone communication; paper handling may be required.

Skills

Communication skills

CPR certified

Bilingual English/Spanish

Education

High School Diploma/GED

Tools

EMR/Practice Management Software

Job description

Optum is seeking a Referral Navigator in Las Vegas, NV to manage referrals from primary care providers for specialist care through our internal and network providers. This role involves building and reviewing referrals, communicating to obtain missing information, and ensuring timely processing.

It is a sedentary desk job with heavy computer and phone use, based in Las Vegas. Schedule is Monday to Friday, 8:00 am to 5:00 pm, with competitive benefits and pay.