ER On Call Clinical Coordinator - Telecommute in LA or Orange County, CA

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM

Clinical

Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Responsible for facilitating out of network admissions and transfers under the direction of the on-call physician. Facilitates hospitalist orders for discharge planning. Ensures that patients who need inpatient care are admitted to right hospital along with our hospitalist. Also responsible for taking after-hours calls from IPA members regarding urgent care facility location and authorization requests. This position directly impacts inpatient metric such as admits per thousand, bed days and re-admit rates. Ensures are patients are getting admitted to the correct facility.

If you are located in LA County, Orange County , California, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Manage administrative intake of members
  • Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
  • Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
  • Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
  • Ensures the appropriate utilization of capitated and contracted specialists, providers, facilities, and vendors according to region and risk.
  • 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. The pace is fast, so your ability to multi-task is essential. You should also enjoy working with people and have the communication skills necessary to build strong relationships with our patients.

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:
  • HS Diploma or GED
  • 2+ years of customer service experience
  • Experience with MS Word, Excel and Outlook
  • Demonstrated ability to navigate a PC to open applications, send emails, and conduct data entry


Preferred Qualifications:
  • Experience working in a hospital, physician's office or medical clinic setting
  • Experience working in a Hospital, Physician's Office, or Medical Clinical setting
  • Experience working in a call center
  • Professional experience in a clerical or administrative support related role
  • Knowledge of ICD-9 and CPT codes


Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

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

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.

Job Keywords: Patient Care Coordinator, Patient Service Representative, Customer Service, Clinic, Clinical Administrative Coordinator, Medical Office, Receptionist, Customer Service, Patient Care, Medical, Inpatient, Prior Authorization, Intake, Call Center, Healthcare, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, California, LA County, Orange County

Advertisement

941739