What are the responsibilities and job description for the Patient Care Coordinator - San Clemente, CA position at UnitedHealth Group?
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 Associate Patient Care Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals.
Schedule:
Location:
Primary Responsibilities:
- Support patients over the phone and in-person to assist in completing forms (Registration and immigration forms; CalOptima SHA forms, scheduling appointments, facilitating referral appointments, access to resources and understanding their plan of care
- Collaborates with the health plan and network care coordination staff to ensure timely communication of patients’ clinical information
- Guide patients in understanding and accessing the benefits they are entitled to under Medicare and Medi-Cal
- Assist with coordination of patients’ health care and social service needs both within and outside of the medical group and CalOptima
- Facilitate communication of initial care plan (ICP) to the primary care physician (PCP), CalOptima, patient and other members of the ICT
- Assist enrollee in meeting preventive care goals
- Assist enrollee with scheduling of appointments
- Initiate referrals to both internal and external care management departments and other department/government or community agencies
- Facilitate warm transfers to patient’s assigned case manager in accordance with patient needs, when appropriate
- Notify patient’s care team of care concerns
- Maintain accurate records and documentation
- Effectively interview patients to determine the strengths, problems, functional status, goals and need for specific services and resources
- Develop rapport, establish and maintain effective interpersonal relationships with internal and external contacts at all levels
- Work with network case management staff to expedite the resolution of patient concerns
- Remain knowledgeable of patients’ benefit structure
- Communicate effectively, both verbally and in writing with individuals from varying cultural and ethnic backgrounds
- Regular and consistent attendance
- Complies with all policies and procedures, including but not limited to HIPAA and Fraud, Waste and Abuse
- Other duties and responsibilities, not specifically described, maybe defined or assigned from time to time, consistent with knowledge, skills and abilities of the incumbent by management
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)
- 1 years of customer service experience with strong communication skills both in person and via phone
- Must have a current and valid California driver’s license
Preferred Qualifications:
- Previous experience with medical insurance
- Prior experience with EMR computer applications
- Working knowledge of general office procedures
The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. 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.
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.
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.
#RPO #RED
Salary : $17 - $33
