Case Care Coordinator

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.

The statements listed below are not intended to be all inclusive of the duties and responsibilities of the position. Based on leadership decisions and business needs, “all other duties as assigned” will be expected for each position.

The Case Care Coordinator is the primary point of contact for each individual member. They will work directly with the member to take on a holistic, proactive approach as it relates to the members healthcare. The Case Care Coordinator will be very hands on as they work through items such as intake, care plan, treatment needs, as well as coordinating efforts with member’s primary care provider as well as other treatment facilities. The Case Care Coordinator with communicate with a diverse group of people across multi – disciplines while serving as point of contact for internal and external entities. The Case Care Coordinator will also summarize and prepare inquiries to submit to the Medical Director under the supervision of the RN Case Manager.

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 8:00 AM – 5:00 PM EST.

We offer 3 – 4 weeks of paid on-the-job training. The hours of training will be aligned with your schedule.

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

Primary Responsibilities: 

• Complete intake calls to welcome members to the program 
• Initiate care plans and enter in all relative information from the issues at hand to interventions
• Promote adherence to care plan, developed in coordination with the member, primary care provider as well as other treating providers
• Assess members unmet needs, coordinate services and treatment needs
• Identify early risk factors and conduct ongoing assessments and document appropriately
• Function as an advocate and decrease unnecessary Build and maintain relationships with members and other authorized member representatives 
• Educate members on program benefits and preventative care
• Maintain contract expertise through internal as well as external trainings and education programs
• Increase continuity of care by managing relationships with providers involved
• Assist in gaining availability for future appointments
• Complete initial assessment interviews
• Assist in provider selection for annual screening exams, diagnostic evaluations as well as treatment appointments
• Acknowledge member’s rights on confidentiality issues, maintain patient confidentiality at all times, and follows HIPAA guidelines and regulations

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 OR equivalent work experience
• Must be 18 years of age OR older
• Experience with medical terminology OR completion of medical terminology course
• Written and verbal communication, telephone etiquette, and interpersonal skills
• Organizational, multi – tasking, and time management skills
• Ability to implement problem solving skills to facilitate timely completion of required responsibilities for a wide range of cases
• Intermediate computer skills including Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Outlook
• Ability to work any shift between the hours of 8:00 AM – 5:00 PM EST from Monday – Friday

Preferred Qualifications:

• Previous applicable healthcare experience
• Knowledge and understanding of CPT and ICD coding
• Call center experience
• National Career Readiness Certificate

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C., Maryland Residents Only: The hourly range for this role is $19.47 to $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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.