Remote Clinical Support & Care Coordination Specialist

Optum; Washington (District of Columbia); Remote; USD 22,000 - 40,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentive programs

Equity stock purchase

401k contribution

Job summary

Optum is seeking a remote-based customer service professional to support members and providers in a fast-paced environment. The role involves intake management, referrals, authorizations, and care coordination in a primarily telework setting.

Responsibilities include triage, problem resolution, and high-volume member interactions by phone. Travel to market sites may be required; training is provided online from home.

Qualifications

• High School Diploma / GED OR equivalent work experience.
• Valid driver's license.
• Must be 18 years of age OR older.
• 1+ years of customer service experience analyzing and solving customer problems.
• 1+ years of experience in a telephonic customer service position, such as a call center.
• Proficiency with Microsoft Word and Microsoft Excel (ability to create, edit, save and send documents and spreadsheets).
• Ability to travel up to 25% of the time (domestic).
• Ability to work full time. employees are required to have flexibility to work our normal business hours of 8:00 am - 5:00 pm EST; occasional overtime.

Responsibilities

• 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 in a high-volume customer service environment.

Skills

Customer service

Call center experience

Travel readiness

Independent work

Time management

Tools

Microsoft Word

Microsoft Excel

Job description

Optum is seeking a remote-based customer service professional to support members and providers in a fast-paced environment. The role involves intake management, referrals, authorizations, and care coordination in a primarily telework setting.

Responsibilities include triage, problem resolution, and high-volume member interactions by phone. Travel to market sites may be required; training is provided online from home.