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Bilingual Senior Clinical Administrative Coordinator - Texas Telecommute more...
Location:Austin, TX
Company:Community and State
First posted:April 13, 2017
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Position Description:

Welcome to one of the toughest and most
fulfilling ways to help people, including yourself. We offer the latest tools,
most intensive training program in the industry and nearly limitless
opportunities for advancement. Join us and start doing your life's best work.

Talk about meaningful work. Talk about an
important role. Let's talk about your next career move. Due to our expanding
business, UnitedHealth Group is seeking Clinical Administrative Coordinators
who share our passion for helping others live healthier lives. As one of the
world's leading health care companies, UnitedHealth Group is pursuing
innovative new ways to operate our service centers and improve on our ability
to deliver high-quality care. As part of our clinical support team, you will be
a key component in customer satisfaction and have a responsibility to make
every contact informative, productive and positive for our members and providers.
You'll have the opportunity to do live outreach, educating members about
program benefits and services while also helping to manage member cases. Bring
your skills and talents to a role where you'll have the opportunity to make an
impact on a huge scale. Take this opportunity and begin doingyour
life's best work. (sm)

What makes your clinical career greater with UnitedHealth Group? You'll work
within an incredible team culture; a clinical and business collaboration that
is learning and evolving every day. And, when you contribute, you'll open doors
for yourself that simply do not exist in any other organization, anywhere.

Primary Responsibilities:

Responds with appropriate
coordination of care and services protocol by level of care (please use the apply button below)pletes telephonic
assessments with members and families.Shares input into the plan of
care with appropriate members of the care team so care team members are
working towards uniform member goals including a holistic approach.Utilizes motivational interviewing
techniques to obtain member information including: family, caregivers,
providers reporting etc. Identifies formal and informal
resources to meet the member needs as stated in the plan of care.Enters service
notifications/authorizations according to guidelinesCommunicates with the member,
primary care physician and community partners concerning service and
behavioral health needs and alternatives to providing services to meet the
needs.Serves as member advocate and
facilitator to resolve issues that may be barriers to care.Through developing a
relationship with the member /family, the care manager educates the member
/family about their behavioral health conditions, socialization options,
treatment options, community resources, insurance benefits and so that
informed decisions can be made and member self-management is promotedThe Service Coordinator
completes delegated activities from the Health Services Manager as
appropriate surrounding the provision of information related to health
conditions and treatment options as a part of the plan of careEnsures appropriate utilization
and consistent application of the benefits and applies benefits
coordination knowledgeMaintains time sensitive
documentation including case management/service coordination interventions
and outcomes to assure compliance with program goals and regulatory agenciesPerform other duties as
assignedOrganizes work and develops
strategies for adapting to a constantly changing workload or when
confronted with unseen situationsUsing defined tools and/or
collaborating with the Health Services Manager, the Service Coordinator
facilitates early identification of changes in condition so that effective
treatment can be initiated promptly, reducing the need for preventable
emergency room visits, and hospitalizationsProvides care management
services for psychosocial, functional and financial needs in the
community, including on-site and telephonic reassessments according to
protocol.Monitors member responses to
the interventions and adjusts plan of care as needed.In collaboration with the
Inpatient Care Manager, the Service Coordinator monitors hospital and SNF
admissions according to post hospital program and provides education
and/or post hospitalization follow-up/interventions as necessary to reduce
frequencyParticipates in the Quality
Improvement process including the recognition of quality of care issues
and forwarding information to appropriate staff for review and resolution

Requirements:

High School Diploma / GED or higherBilingual English/SpanishHealthcare industry experience
or health plan knowledgeExperience in a high volume
Call Center or Telephonic work environmentExperience using MS Windows
based PC skills (Word, Excel, Outlook)Flexibility to
work outside standard hours of operation 8am-5pm. (Flextime)

Preferred Qualifications:

Bachelor's Degree or higherLong term care experience
preferred, case management in a clinical setting or managed care facilityPediatric experience, a plusUnderstanding of HIPAA
RegulationsWorking knowledge of Medical
Terminology/Coding (ICD-9/10 and CPT)

Soft Skills:

Strong interpersonal skillsProficient computer skillsCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM
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.Keywords: united healthgroup, optum, healthcare, clinical admin coordinator, bilingual, call center, telephonic, word, excel, outlook, long term care, pediatric, HIPAA, medical terminology, ICD-10, CPT

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