Clinical Administrative Coordinator

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Clinical Administrative Coordinator serves as a key member of the Care Management team in Colorado. Responsibilities include collecting, reviewing and entering data; research; corresponding with Medicaid and Medicare enrollees; and completing required reports. Responsible for supporting key functions related to Medicaid and Medicare program monitoring and regulatory compliance.

If you reside in the state of Colorado, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities

• Develop and maintain a general knowledge of CMS requirements
• Supporting Members with physical, behavioral, and/or social needs through completion of outbound calls, assessments, and care plans
• Work collaboratively to improve the Medicare enrollee’s experience
• Understand and strictly adhere to department operating procedures
• Ensure accuracy and consistency in data entry within the Essette system, as well as MPM tracking tools
• Actively participate in department meetings and workgroups
• Meet all compliance deadlines and self-manage workload using MPM tracking tools
• Interface with key internal as necessary to complete assigned tasks
• Creates the Individualized Care Plan (ICP) using the results of the Health Risk Assessment (HRA) outreaches
• Prepares final ICPs for mailing to Medicare DSNP enrollees
• Assists with outreach to Medicare DSNP enrollees to collect Health Risk Assessment (HRA) responses as needed
• Accurately documents all work for compliance and tracking
• All other duties assigned by business
  
  

What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits
  
  

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 higher) or 4+ years of medical call center, care coordination, case management, or community health worker experience
• 2+ years of experience within the healthcare industry
• Intermediate level of computer skills (Microsoft Word, Excel, Outlook, and Internet) with the ability to navigate a Windows environment
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information and live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Reside in the State of Colorado
  
  

Preferred Qualifications

• 2+ years of health assessment experience
• 1+ years of experience in regulatory guidance as it pertains to the Medicare DSNP Health Risk Assessment (HRA) and Individualized Care Plan (ICP) processes
  
  

Soft Skills

• Ability to be a positive representative of the Company both internally and externally
• Ability to always work with respect and cooperation with fellow employees and clients
• Ability to meet multiple deadlines with little direction
• Ability to multi-task
• Ability to communicate effectively, both verbal and written
• Ability to understand regulatory guidance as it pertains to the Medicare DSNP Health Risk Assessment (HRA) and Individualized Care Plan (ICP) processes
• Team player demonstrating enthusiasm and commitment to company vision and mission
• Excellent organizational skills, data entry skills, and attention to details
• All Telecommuters 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 hourly pay for this role will range from $17.74 to $31.63 per hour 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.

UnitedHealth Group 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.

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

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