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Associate Clinical Review Coordinator - National Remote job in New York at UnitedHealth Group

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Associate Clinical Review Coordinator - National Remote at UnitedHealth Group

Associate Clinical Review Coordinator - National Remote

UnitedHealth Group New York, NY (Remote) Full-Time

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.



Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.SM



Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact.



This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 07:00am – 07:00pm CST. It may be necessary, given the business need, to work occasional overtime. 



*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.



Primary Responsibilities:




  • Work Monday – Friday 8hr shift within 7:00am – 7:00pm CST• 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



This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.



You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.


Required Qualifications:




  • Some college (or higher)

  • 1+ years of customer service experience analyzing and solving customer problems

  • Ability to create, edit, save and send documents and spreadsheets utilizing Microsoft Word and Microsoft Excel



Telecommuting Requirements:




  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy

  • Ability to keep all company sensitive documents secure (if applicable)

  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service



Preferred Qualifications:




  • Experience working within the health care Industry and with health care insurance

  • A clerical or administrative support background

  • Knowledge of ICD-9 and CPT codes

  • Experience working with Medicare and/or Medicaid Services

  • Call center experience



Soft Skills:




  • Ability to type and talk at the same time and navigate through multiple screens



To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies required all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. 



Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.



Colorado, Connecticut, Nevada or New York City Residents Only: The salary range for Colorado residents is $16.00 - $23.51. The salary range for Connecticut / Nevada / New York City residents is $16.00 - $25.77. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.



At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.





Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.



UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.



#RPO #YELLOW

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