Optum NV is seeking a Clinical Administrative Coordinator Home Health to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

This position is full-time. Employees have the flexibility to work an 8 hour shift schedule Tuesday-Saturday during our normal business hours of 8:00am - 5:00pm PST or a 10 hour shift schedule Tues, Wed, Fri & Sat 7:00am -6:00pm PST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 2716 N Tenaya Way, Las Vegas, NV.

We offer 4-6 weeks of paid training. The hours during training will be 8:00am to 5:00pm, Monday – Friday. Training will be conducted onsite.

Primary Responsibilities:

Manage the intake of members or the admission/discharge information post notification
Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and/or providers
Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
Handle resolution / inquiries from members and/or providers that may include:
Responsible for initial screening of members
Administrative intake of members or managing the admission / discharge information post-notification
Work with hospitals and the clinical team. Includes managing incoming calls
Manage requests for services from providers / members, provide information on available network services and transfer members as appropriate to clinical staff
Manage the referrals process, processes incoming and outgoing referrals, and prior authorizations
Intake, notification and census roles
Other duties as assigned

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 years of experience
Must be 18+ years of age OR older
1+ years of customer service experience analyzing and solving customer problems
1+ years of experience working in a clerical/customer facing environment
Experience navigating a PC to open applications, send emails, and conduct data entry including Windows based programs
Ability to work an 8 hour shift schedule Tuesday-Saturday during our normal business hours of 8:00am - 5:00pm PST or a 10 hour shift schedule Tues, Wed, Fri & Sat 7:00am -6:00pm. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

Working knowledge of medical terminology to communicate with members and providers
1+ years of experience working with healthcare insurance
Experience working with Medicare and/or Medicaid Services
Experience working in a call center environment
Ability to create, edit, save and send documents utilizing Microsoft Word and Microsoft Excel

The hourly 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.

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UnitedHealth Group

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Clinical Administrative Coordinator Home Health - Las Vegas, NV