Care Team Associate - National Remote

UnitedHealth Group

  • Eden Prairie, MN
  • $41,600-74,300 per year
  • Permanent
  • Full-time
  • 13 hours ago
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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.Optum Care/Population Health Management General Function: The Care Team Associate (CTA) will effectively support the successful implementation and execution of all Care Management processes for Complex Case Management, Disease Management and Transitional Case Management programs. The Care Team Associate will provide support to care management team including CM manager, CM Director, and CM Vice President to ensure applicable program processes and operational responsibilities are met. The CTA provides support for Care Management processes. This position is responsible for the daily census management, task management, and general coordination functions. This position will serve as a liaison with internal/external customers/departments to ensure optimal customer service.This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime.We offer 2 weeks of paid training. The hours during training will be 8:00am to 5:00pm, Monday - Friday. Training will be conducted virtually from your home.You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
  • Documents all member interactions in a concise manner that is compliant with documentation requirements for Model of Care, NCQA and Center for Medicare and Medicaid Services (CMS) regulations
  • Receives and responds to incoming Care Coordination inquiries from all communication venues: e.g., phone queue, CM/UM electronic platform, portal, department e-mail box or RightFax
  • Coordinates and assists in monitoring of documentation Care Management queues for Complex Case Management, Disease Management, Transitional Case Management, and Social Work referrals
  • CTA processes CM requests via all communication venues; as well as administrative preparation for clinical staff
  • Conducts in-bound and out-bound calls for program requirements including, but not limited to: member scheduling, surveys/screenings, census management and distribution of materials to appropriate clinical personnel or members
  • Performs daily preparation of INPT and Post-Acute Census for use in CM referrals, and informs Care Management Manager of outstanding cases to ensure adherence to NCQA regulations
  • Completes timely data entry of in-bound and/or out-bound call member contact information into software applications
  • Provides clerical and/or administrative support to clinical staff and managers for special projects and reporting needs
  • Provides excellent customer service by serving as a resource to all internal and external customers
  • Attends required meetings and participate in ad hoc committees as needed
  • Maintains knowledge of all health plan benefits, network, NCQA regulations, health plan policies
  • Identifies opportunities for process improvement in all aspects of member care
  • Must maintain strict confidentiality at all times
  • Must adhere to all department/organizational policies and procedures
  • Performs all other related duties as assigned
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:
  • High School Diploma / GED
  • Must be 18 years of age OR older
  • 2+ years of administrative and/or clinical support experience
  • Proven intermediate knowledge of Microsoft Office products, including Microsoft Excel, Microsoft Word, and Microsoft Outlook
  • Ability to toggle between multiple IT systems and platforms
  • Proven medical terminology knowledge base
  • Ability to prioritize, plan, and handle multiple tasks/demands simultaneously
  • Ability to work full-time, Monday - Friday between 8:00am - 5:00pm EST including the flexibility to work occasional overtime given the business need
Preferred Qualifications:
  • Certified Medical Assistant training or certification
  • 2+ years of experience in a physician's clinic or hospital
  • 1+ years of experience working in a medical care setting as a receptionist or medical assistant
  • Experience working with a Special Needs Plan (SNP) population
  • Ability to work independently, with some supervision and direction from manager
  • Posses and demonstrate excellent organizational skills, customer service skills, to include verbal and written communication
  • Maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
Telecommuting Requirements:
  • Ability to keep all company sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $41,600 to $74,300 annually based on full-time employment. We comply with all minimum wage laws as applicable.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.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.OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group