What are the responsibilities and job description for the Clinic Supervisor - Shreveport, LA position at UnitedHealthcare?
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.
Positions in this function includes the management of the clinic operations along with managing the clinical staff in those clinics. Also to include initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Also manages the referrals process, processes incoming and outgoing referrals, and prior authorizations.
Primary Responsibilities
Required Qualifications
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
Positions in this function includes the management of the clinic operations along with managing the clinical staff in those clinics. Also to include initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Also manages the referrals process, processes incoming and outgoing referrals, and prior authorizations.
Primary Responsibilities
- Monitors schedules to ensure that nurse practitioner schedule capacity is fully utilized. This includes pulling appointments forward, and opening additional appointment slots on the nurse practitioner schedule when warranted to ensure visit goals are met
- Run a report for assigned nurse practitioner schedules both field and service center of previously canceled, rescheduled, and no showed members (time frame pending / Sup input)
- Keeps open lines of communication with providers and management of staff assignment change. When medical assistant is out, either planned, or unplanned, nurse practitioner and operational manager is notified of replacement coverage/plan
- Supervise and motivate a work team while maintaining high standards
- Respond to provider inquiries that have been received by the escalation and case resolution department
- Research and verify information provided on authorization documents
- Process and document DME / referral requests
- Maintains monthly metrics and performs monthly audits for Medical Assistants
Required Qualifications
- High School Diploma/GED (or higher)
- 5 years of customer service experience
- 3 years of clinic management/supervisory experience (e.g., Review work of others, serve as an expert in their field, serve as a mentor and leader, lead functional or segment teams or projects, Motivate and inspire team members)
- 1 years of experience with initial triage of patients, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team
- Intermediate level of proficiency with MS Word, Excel and Outlook
- Active and current Driver's License in the state of Louisiana
- Associate or bachelor’s Degree
- Medical Assistant Certification
- Clinical licensure
- 2 years of supervisory experience
- Clinic management/operations experience
- Call center experience
- Experience supervising remote employees
- Experience supervising clinical staff
- Prior Authorization experience
- Previous experience working in a Managed Care organization
- Managed care experience in a care coordination role
- Medicare knowledge or experience
- Intermediate level of proficiency with PowerPoint
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 : $49,300 - $96,400