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UnitedHealth Group Care Coordination Specialist - Telecommute in Canonsburg, Pennsylvania

Careerswith MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations.. We provide a broad scope of services including urgent care, basic wellness and prevention, and employer health services. As part of the Optum and UnitedHealth Group family of businesses, we're working together to help people live healthier lives and to help the health system work better for everyone. You can become part of our elite team almost anywhere with 250 MedExpress centers across the country and two administrative offices in Morgantown, WV and Pittsburgh, PA. Join us and start doing your life's bestwork. SM

The Care Coordination Specialist is responsible for timely and accurate referral sources for patients and employers, ensuring quality standards and company policies/procedures are followed during customer interactions. This position will also provide oversight and case management for worker's compensation claims, including blood-borne pathogen cases.

Working Relationships:

  • Will interact with center employees on a regular basis as well as other cross-functional team-members at the Administrative Offices.

  • Ability to work and interact with clinical, center -based roles, medical leadership, as well as business professionals.

Working Conditions:

Non-Center Based. Requires: the ability to sit at a computer for hours at a time (with some bending and stooping) and travel to Centers (if so, the noise level is moderate and there is potential for exposure to infectious diseases and blood-borne pathogens).

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges

Primary Responsibilities:

  • Has a contagious and positive work ethic, inspires others, and models the behaviors of Genuine, Caring, and Friendly.

  • Demonstrates effective verbal and written communication that is clear, well-organized, and demonstrates an understanding of audience needs.

  • Through genuine and positive communication, makes each customer feel informed, understood, and special.

  • An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.

  • Is able to keep up in the MedExpress environment by facing tasks and challenges with energy and passion.

  • Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals.

  • Adherence to standards of business conduct and compliance.

  • Works with patients, centers and workers comp insurance carriers to refer to correct referral source. Referrals may be received via phone, mail and e-mail communications.

  • Responsible for case management of patients with worker's compensation injury or BBP exposure, including coordination of follow-up care, scheduling, tracking follow up appointments, distribution and communication of test results.

  • Liaison for patient, employer, Medical Director, and VP of Risk Management.

  • Responsible for maintaining individual and departmental goals including: call quality, average call handle time, service level, average speed of answer, abandonment rate, etc.

  • Provide feedback to management on identified issues and assist with resolution of any items or trends that negatively impact patient-client experience.

  • Maintain confidentiality of patient diagnostic and treatment information with focus on HIPAA guidelines and strong customer service skills, may include eScreen and UDS support.

  • Demonstrate flexibility to meet the needs of external and internal customers in regard to: changes in work volume, planned changes, scheduling changes, client services support.

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:

  • Works with patients, centers and workers comp insurance carriers to refer to correct referral source. Referrals may be received via phone, mail and e-mail communications.

  • Responsible for case management of patients with worker's compensation injury or BBP exposure, including coordination of follow-up care, scheduling, tracking follow up appointments, distribution and communication of test results.

  • Liaison for patient, employer, Medical Director, and VP of Risk Management.

  • Responsible for maintaining individual and departmental goals including: call quality, average call handle time, service level, average speed of answer, abandonment rate, etc.

  • Provide feedback to management on identified issues and assist with resolution of any items or trends that negatively impact patient-client experience.

  • Maintain confidentiality of patient diagnostic and treatment information with focus on HIPAA guidelines and strong customer service skills, may include eScreen and UDS support.

  • Demonstrate flexibility to meet the needs of external and internal customers in regard to: changes in work volume, planned changes, scheduling changes, client services support.

  • If you need to enter a worksite for any reason, you will be required to screen for symptoms using theProtectWell mobile app, Interactive Voice Response (i.e., entering yoursymptoms via phone system) or similar UnitedHealth Group-approved symptomscreener. When in a UnitedHealth Group building, employees are required towear a mask in common areas. In addition, employees must comply with anystate and local masking orders

© 2019 OptumCare. All rights reserved.

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both its owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine provided by the medical practices of any of their physicians.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Diversitycreates a healthier atmosphere: OptumCare and its affiliated medical practicesare Equal Employment Opportunity/Affirmative Action employers and all qualifiedapplicants 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, maritalstatus, genetic information, or any other characteristic protected by law.

OptumCareand its affiliated medical practices is a drug-free workplace. Candidates arerequired to pass a drug test before beginning employment.

Job Keywords: Care Coordination Specialist, Telecommute, MedExpress

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