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TRICARE Senior Clinical Administrative Coordinator - Honolulu, HI
| Hours | Full-time, Part-time |
|---|---|
| Location | Honolulu, HI Honolulu, Hawaii |
About this job
Position Description:
For those who want to invent the future of healthcare, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.SM
Employees in this position include those responsible for initial Triage of members, Administrative Intake of members or managing the Admission/discharge information post-notification, and working with hospitals and the Clinical team. Function includes managing Incoming calls, managing requests for services from Providers/members, providing information on available Network services and transferring members as appropriate to Clinical staff. Also manages the Referrals process, processes Incoming and Outgoing Referrals, and Prior Authorizations. This function also includes Intake, Notification and Census roles.
As
a potential government contractor, this position requires U.S. citizenship and
proof of favorable adjudication following submission of Department of Defense
form SF85P.
Primary Responsibilities:
- Answer Inbound calls in a Call Center and document all calls.
- Make Outbound calls to enroll members into Wellness programs.
- Schedule appointments.
- Collaborate with Wellness Coaches and Nurses.
- Extensive work experience within own function.
- Work is frequently completed without established procedures.
- Work independently.
- May act as a resource for others.
- May coordinate others' activities.
Requirements
- High School Diploma/GED.
- 1+ year of Customer Service experience.
- Ability to maintain confidentiality and adhere to HIPAA requirements.
- Experience using a PC and utilizing Microsoft Office in a professional setting.
- Ability to obtain favorable adjudication following submission of Department of Defense form SF86,, NAC form SF86.
- United State Citizenship.
- Bachelor's Degree in a Health-related field.
- Prior Medical and/or Healthcare experience.
- Previous Military experience.
- Previous Managed Care experience.
Careers at UnitedHealthcare
Military & Veterans. When it
comes to their healthcare, the men and women who help keep the peace deserve
the greatest peace of mind. That's why UnitedHealthcare is the organization
that's called on to serve them and their loved ones. We're all about finding
better ways to help improve their lives no matter where life may take them. So
our career opportunities take challenge to a higher level. If you have a
commitment to quality that mirrors our commitment to the men and women of the
armed forces, take time to learn more about the career paths available here.
It's a genuine opportunity to do your
life's best work.SM
UnitedHealthcare
Military & Veterans is part of the family of companies that make
UnitedHealth Group one of the leaders across the US Healthcare system.
We serve those who serve our nation, providing quality Healthcare services to
millions of Military beneficiaries.
Our commitment to helping people live healthier lives, and to continue the
honor, satisfaction, and quality of the TRICARE Military Health Benefit program
is greater than ever. Our efforts complement the Military Health System to
demonstrate the best blend of public and private Healthcare solutions.
It's not just business as usual. It is one of our proudest endeavors.
If you're ready to help make Healthcare work better for those who serve our
nation. If you are smart, creative, and committed. If you want to make a
difference, consider being part of the elite team at UnitedHealthcare Military
& Veterans.
This is an opportunity to share in something special; a chance for all of us to
serve, to excel, and to know that we've made a difference for those families
who have made our nation stronger.
Diversity creates a healthier atmosphere: 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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