Care Navigator - Remote in Georgia

Full Time
Atlanta, GA 30361
Posted
Job description

If you are located in Georgia, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.


You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.


This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.


Optum
helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.


There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an email with information regarding next steps including any pre - employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: http://uhg.hr/OurApplicationProcess


Our Care Navigators have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.


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 9:00 am to 5:30 pm EST. It may be necessary, given the business need, to work occasional overtime. This is a telecommute / work at home role.


  • All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


Primary Responsibilities:


  • Completes telephonic outreach to DSNP members utilizing auto dialer and manual dialing

  • Educates member on gaps in care and assists with scheduling provider appointments

  • Assists members with social determinants of health and links to community resources

  • Ensures member has access to PCP

  • Identifies gaps in care and assists in closure of gaps

  • 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 (or higher)

  • 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

  • Work experience using Microsoft Word (edit, create & save documents), Microsoft Excel (sorting & filtering data), and Microsoft Outlook (email, folders, attachments and calendaring)

  • Ability to work any 8-hour shift between 9:00am-5:30pm EST


Preferred Qualifications:


  • Bachelor’s Degree (or higher) in Social Work, Public Health or related field

  • Previous experience as a telecommuter

  • Medicaid and / or Medicare experience

  • Bilingual (Spanish, Chinese, Mandarin, Vietnamese, Korean, or Cantonese)


Telecommuting Requirements:


  • Reside in Georgia

  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy

  • Ability to keep all company sensitive documents secure (if applicable)

  • 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


UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.


Military & Veterans find your next mission:
We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military


Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet


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 owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physucuan employees have complete authority with regards to all medical decision-making and patienct care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.


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 #YELLOW

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