Clinical Administrative Coordinator - Las Vegas, NV

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life's best work.SM

This position is full - time. Employees are required to work any shift between the hours of 8:00 AM - 5:00 PM PST (Pacific Standard Time) including the flexibility to work occasional overtime and weekends based on business need. Our office is located at 2716 North Tenaya Way, Las Vegas, NV, 89128.

We offer 8 weeks / 2 months of paid training in the office. The hours during training will be 8:00 AM - 5:00 PM PST. Training will be conducted on - site.

Primary Responsibilities:

• Under the manager direction, functions as a Clinical Administrative Coordinator in the Utilization Management department
• Primarily responsible for initiation of cases by data entry of clinical into the Facets system, via telephone, fax or computer
• Electronically routes cases to the nurse for review and decision
• After decision, is responsible for accurate case completion to include generation of approval letters while staying within compliance with time frames
• Communicates with providers other departments as needed
• Works independently with minimal supervision
• Collaborates with clinical team to ensure compliance with regulatory timeframes
• Provide a high level of customer service while communicating with internal departments and provider office staff as pertains to performance of job responsibilities
• Responsible for achieving key indicator goals
• Follow departmental policy regarding accurate documentation of clinical data, demographic and product information, provider / facility contract status
• Appropriately route cases to RN for clinical review
• Follow department policy for non - clinical level notifications

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 equivalent work experience
• 2+ years of experience in a healthcare facility, medical office, hospital, OR managed care setting
• Experience with medical terminology, ICD - 10, and CPT codes
• Experience with using Microsoft Office, including Microsoft Word (create correspondence and work within templates) and Microsoft Teams (communication)
• Reside within a 30-mile commutable distance of Las Vegas, NV
• Ability to work any shift between the hours of 8:00 AM - 5:00 PM PST (Pacific Standard Time) including the flexibility to work occasional overtime and weekends based on business need
• Must be 18 years of age OR older

Preferred Qualifications:

• Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools

Soft Skills:

• Strong telephonic customer service, listening, verbal and written communication
• Strong problem solving and critical thinking skills
• Ability to commit to department goals

Nevada Residents Only: The hourly range for Nevada residents is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.

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