Job Information
UnitedHealth Group Telephonic Care Navigator - Remote in Iowa in Des Moines, Iowa
If you are locate d within IA, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental, and social needs – helping patients access and navigate care anytime and anywhere.
As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home.
We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while doing your life’s best work. ℠
This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:00am - 5:30pm (local time zone). It may be necessary, given the business need, to work occasional overtime.
We offer 3 weeks of paid training. The hours during training will be 9:00am to 5:30pm (local time zone), Monday - Friday.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Completes telephonic outreach to DSNP/CSNP members utilizing multiple outreach modes: including auto-dialer, manual and inbound calls
Educates member on gaps in care and assists with closure of gaps, including scheduling provider appointments
Assists members with social determinants of health and links to community resources
Ensures member has access to PCP
Outreaches members on caseload consistent with program guidelines
Consistently meets metrics, both quality & performance
Provides excellent customer service to both members and providers
Constantly maintains schedule adherence and good attendance
Maintains confidential health information according to state and federal regulations including HIPAA
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
Must be 18 years of age or older
1+ years of call center and / or telephonic customer service experience
1+ years of professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties
1+ years of Healthcare / insurance experience and /or Social work /community outreach /advocacy experience
1+ years of experience analyzing and solving customer problems
Work experience using Microsoft Word (edit, create & save documents)
Microsoft Excel (sorting & filtering data)
Microsoft Outlook (email, folders, attachments and calendar)
Must have capability to work from home (access to high speed broadband)
Ability to work full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:00am - 5:30pm (local time zone). It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications:
Social Work, Public Health or related field
Bilingual English and Spanish or other language
Previous experience as a telecommuter
Medicaid and / or Medicare experience
Experience working with medical terminology
Telecommuting Requirements:
Reside within IA
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
Soft Skills:
Must be able and comfortable with maintaining metrics and goals within the department
Must be comfortable working on the phone and multiple systems on the computer simultaneously while assisting members
Must be comfortable making outreach to members without prior engagement
Excellent Organizational Skills
Telephone etiquette
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 .
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