Care Advocate II - NJ

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

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

The Care Advocate role will engage and develop relationships with our members. This role focuses on proactive, best practices, consultation and improvement of quality care for members and / or their caregivers throughout the healthcare continuum. The primary responsibility for member support includes the initial engagement, coordination with our providers, connecting member with various care teams, educating member on pending/current hospitalizations, supporting member through next site of care as well as a 30-day discharge from a facility. As a Care Advocate, you will act as a resource and advocate for members and their caregivers to ensure an optimal member experience. This position is also responsible for coordination and communication to members, physicians and other care management teams serving as a liaison with external departments to ensure consistent member care. Includes but not limited to managing outgoing /incoming calls, scheduling provider appointments, providing information on available services, managing referral process and transferring members as appropriate to clinical staff.

If you are located in San Antonio,Texas, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Establishes a trusting relationship with identified members, caregivers, clinic staff and
  • physicians (may be completed face-to-face or virtual with member)
  • Proactively engages the member to coordinate their care needs
  • Keeps member actively engaged with their primary care physician and assists member with
  • any scheduling medical appointments/transportation; clinical issues or concerns will be
  • directed to a nurse/clinical professional
  • Partners with the member's care team (community, providers, internal staff); serving as a
  • liaison between member and/or caregiver and all health services / processes
  • Connects members who need guidance and assistance with any specific barriers to healthcare
  • identified through telephonic outreach with an appropriate care team to assist in solving the
  • member's needs
  • Conduct Social Determinants of Health assessments to identify member needs and connect
  • member with an appropriate care team to assist
  • Plans, prioritizes, organizes and completes work to meet established objectives
  • Review care history documentation (e.g., case notes); includes navigation between computer screens and platforms to research information (e.g., medical, clinical, or benefits information)
  • The information listed above is not comprehensive of all duties/responsibilities performed
  • This job description is not an employment agreement or contract. Management has the
  • exclusive right to alter this job description at any time without notice.
  • Serves as primary point of contact for internal and external stakeholders
  • Conducts in-bound and out-bound calls including, but not limited to: member touch-points,
  • clinical staff coordination, member scheduling, and/or surveys/screenings
  • Enters timely and accurate data into the electronic medical record to communicate member
  • needs and ensure complete documentation of member visits and phone calls
  • Periodically may visit members/patients in facility or next site of care, requiring ability to
  • travel reliably to and from location
  • 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 or GED
  • 4+ years of experience in customer service support and/or engagement
  • Proficient computer skills, including Microsoft Word, Excel, Access and Outlook
  • Ability to reliably travel locally where/when necessary
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.


Preferred Qualifications:
  • Health care experience
  • Bilingual in English and Spanish language proficiency
  • Knowledge of medical terminology
  • Basic understanding of Medicare and Medicaid health plans
  • Experience working with Medicare and Medicaid populations
  • Ability to comprehend and retain detailed information
  • Ability to use logical reasoning for simple and complex problem solving
  • Excellent verbal and written skills
  • Ability to interact productively with individuals and with multidisciplinary teams
  • Excellent organizational and prioritization skills


Physical & Mental Requirements:
  • Ability to lift up to 10 pounds
  • Ability to sit for extended periods of time
  • Ability to use fine motor skills to operate office equipment and/or machinery
  • Ability to receive and comprehend instructions verbally and/or in writing
  • Ability to use logical reasoning for simple and complex problem solving


UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team 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: Care Advocate II, customer service, outpatient care, healthcare experience, medical terminology, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, TX, Texas

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