Nursing Facility Services Clinical Administrative Coordinator - Sugar Land, TX

Position Description: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 doing your 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. For those who are positive, energetic & dependable and want to be part of an ever-changing, challenging 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. Positions in this function include those responsible for initiation and management of State member assessments, working with Nursing Facility providers, State Regional offices, and Clinical team. Primary Responsibilities:Extensive work experience with Nursing Facility and/or Medicaid communityWork independentlyMay act as a resource for othersMonitor timely receipt, accuracy and compliance of State assessment.Maintain 100% adherence to State contract, CMS requirements, and UnitedHealthcare Community Plan Performance and Quality metrics around Nursing Facility Goals.100% adherence to submission timelines of scheduled department reports, assigned metrics and state deliverables.100% adherence to submission deadlines on complaints.Meet State Partner and Internal expectation on timeliness & quality of interactions with members and providers.Demonstrate compliance in the urgency of all Star+Plus Nursing Facility State & internal deadlines.Act as an advocate for membership and establish effective working relationships with our providers to service our members, ensuring all federal, state and company regulations, policies, and expectations are followed.Be responsive to our members (retention & referrals) and providers (contracting retention).

Required Qualifications:


High School Diploma/GED
2+ years of Clerical or
Administrative work experience
2+ years of experience using
the telephone and computer as primary instruments to perform job duties
Experience using a computer and
Microsoft Office (Word, Excel, and Outlook)
Comfortable working
Monday-Friday from 8am-5pm with OT as needed


Preferred
Qualifications:


Medicare and/or Medicaid
experience
Nursing Facility experience
Healthcare or Insurance
Benefits experience
Careers 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.SMDiversity 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.