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RCC Clinical Administrative Coordinator - Las Vegas, NV

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Optum

2mo ago

  • Job
    Full-time
    Junior Level
  • Customer Relations
    Healthcare
  • Las Vegas

AI generated summary

  • You need a high school diploma, 6+ months in medical terminology and customer service, 1+ year in healthcare, computer proficiency, and the ability to work in a hybrid model.
  • You will manage phone calls, verify member eligibility, assist care planning, process referrals, handle patient appointments, and support the Case Management team while maintaining accountability.

Requirements

  • High School Diploma / GED
  • Must be 18 years of age OR older
  • 6+ months of experience in Medical Terminology
  • 6+ months of Customer Service or Patient Care experience in a Healthcare Facility (examples: doctor’s office, hospital)
  • Proficiency with computer and Windows PC applications
  • Must be able to work onsite and remotely (hybrid position)
  • Ability to work Monday - Friday, in any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm, including the flexibility to work occasional overtime, based on the business need
  • 1+ years of experience in a managed acute and/or clinic care setting
  • Knowledge of managed health care system
  • Knowledge of the Medicare Advantage and Chronic Special Needs Plans
  • Reside within a commutable distance to the office at 2716 N Tenaya Way, Las Vegas, NV
  • 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
  • Ability to assist with coordination of medical information
  • Able to multi-task in various environments
  • Good organizational, oral, and written communication skills

Responsibilities

  • Primary responsibility is answering phones:
  • Calls that are received for Telephone Advice Nurse (TAN) and transfer to that team
  • Calls that are received for Complex Case Management (CCM) and transfer to that team
  • Verify eligibility for members
  • Function as a member of an interdisciplinary team to facilitate patient care
  • Assist with care planning activities to include gathering needed information, following up with provider office staff as needed
  • Process referrals in Touch Works (TW)
  • Build cases in Clinical Care Advance (CCA) and add all initial assessments to CM team Outlook Calendar
  • Carry a Census of CCM patients with Low Acuity
  • Timely completion of Provider Summaries for those patients on CCM CAC census
  • Placing telephone calls to patients and assist appropriately
  • Assist Case Management team with setting patient appointments, gathering documentation and providing follow-up as directed
  • Maintain accountability and promote growth within the CAC team
  • Work the report spreadsheet assignment
  • Other duties as assigned by Supervisor, for program integrity

FAQs

What is the job title for this position?

The job title is RCC Clinical Administrative Coordinator.

Where is this position located?

This position is located in Las Vegas, NV.

What are the primary responsibilities of the RCC Clinical Administrative Coordinator?

The primary responsibilities include answering inbound calls, verifying eligibility for members, assisting with care planning activities, processing referrals, maintaining documentation, and working collaboratively with the Case Management team.

What are the required qualifications for this role?

The required qualifications include a High School Diploma/GED, 6+ months of experience in Medical Terminology, 6+ months of customer service or patient care experience in a healthcare facility, proficiency with computer and Windows PC applications, and the ability to work both onsite and remotely.

Is there a training period provided for this role?

Yes, there is 4-6 weeks of on-the-job training provided.

What is the expected number of calls to be handled daily?

The expected number of calls to be handled daily is an average of 50 calls.

What are the work hours for this position?

The work hours are Monday to Friday, from 8:00 AM to 5:00 PM, with potential overtime based on business needs.

What benefits are offered to employees?

Employees are offered a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contributions, among others.

What are the preferences for candidates applying for this position?

Preferred qualifications include 1+ years of experience in a managed acute and/or clinic care setting and knowledge of the managed healthcare system, Medicare Advantage, and Chronic Special Needs Plans.

Are there any specific telecommuting requirements?

Yes, candidates must reside within a commutable distance to the office, maintain a secure work environment, and have access to high-speed internet.

What is the pay range for this position?

The hourly pay range for this position is $16.54 - $32.55 per hour, based on various factors such as local labor markets and work experience.

Is this a drug-free workplace?

Yes, UnitedHealth Group is a drug-free workplace, and candidates are required to pass a drug test before beginning employment.

Does UnitedHealth Group support diversity in the workplace?

Yes, UnitedHealth Group is committed to diversity and is an Equal Employment Opportunity / Affirmative Action employer.

Is experience in healthcare preferred for this position?

Yes, experience in a healthcare setting is preferred, particularly in customer service or patient care roles.

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Optum

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.