Remote Care Coordination Specialist

Optum; Albuquerque (NM); Hybrid; USD 28,000 - 50,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan

Dental & Vision

401(k) Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Referral Bonus

Voluntary Benefits

Job summary

Optum is hiring a Clinical Administrative Coordinator in Albuquerque, NM. This hybrid role requires 1 day onsite at 303 Roma Ave, with travel about 10% and Monday–Friday, 8am–5pm scheduling and care coordination responsibilities.

Key duties include outreach to high-risk members, arranging visits, coordinating with RNs and social workers, and maintaining documentation within the care management system. Strong healthcare admin experience and bilingual skills are preferred.

Qualifications

• High School Diploma/GED.
• 2+ years of experience providing administrative support in a healthcare, medical office, and/or health insurance environment.

Responsibilities

• First outreach to newly identified high-risk members; explains the program and books the first RN or Social Worker visit.
• Schedules post-discharge visits before the member leaves the hospital and confirms the visit happens within 7 days.
• Books PCP, specialist and lab appointments; arrange transportation, DME delivery, and home health starts.
• Tracks referrals to closure and flags stalled ones to the RN or Social Worker.
• Collects documents for Medicaid/LIS applications and D-SNP recertification under Social Worker's direction.
• Keeps contact information and outreach attempts current in the care management platform.

Skills

Administrative support

Healthcare experience

Bilingual Spanish/English

Education

High School Diploma/GED

Job description

Optum is hiring a Clinical Administrative Coordinator in Albuquerque, NM. This hybrid role requires 1 day onsite at 303 Roma Ave, with travel about 10% and Monday–Friday, 8am–5pm scheduling and care coordination responsibilities.

Key duties include outreach to high-risk members, arranging visits, coordinating with RNs and social workers, and maintaining documentation within the care management system. Strong healthcare admin experience and bilingual skills are preferred.