Senior Clinical Administrative Coordinator - Waltham, MA

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.






If you're ready to help make health care work better
for more people, you can make a historic impact on the future of health
care at UnitedHealth Care Community & State.

We contract with states and other government
agencies to provide care for over two million individuals. Working with
physicians and other care providers, we ensure that our members obtain
the care they need with a coordinated approach.

This enables us to break down barriers, which makes
health care easier for our customers to manage. That takes a lot of
time. It takes a lot of good ideas. Most of all - it takes an entire
team of talent. Individuals with the tenacity and the dedication to make
things work better for millions of people all over our country.

You can be a part of this team. You can put your
skills and talents to work in an effort that is seriously shaping the
way health care services are delivered.This is not an entry
level position. You will be providing care coordination telephonically
completing assessments and documentation within a clinical system while
multitasking other applications gathering information to support
member’s needs.   Must have excellent typing, writing and grammar
skills.  Primary responsibilities are telephonic case management and
some administrative responsibilities for the clinical department related
to member care. This is a very fast-paced environment working with 10+
people. We are looking for a team player who is goal oriented,
self-motivated, takes initiative and is willing to learn in a fast
environment.Primary Responsibilities:

Provide exceptional customer serviceManage administrative intake and data entry for clinical team of membership.Work with providers and/or the clinical team to manage request for long term and respite services. Manage notifications, processing incoming and
outgoing referrals, and prior authorizations, including intake,
notification and census roles. Receive care coordination notification cases for non-clinical assessment/intervention and provide appropriate triage.Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review.Process and distribute custom reports to providers and clinical staff.Multitasking with multiple platforms and applications.Inbound/outbound phone calls to providers other internal departments to assist with notifications, documentation.

Requirements:

High school diploma or GED.1+ year of experience using the telephone and computer as primary instruments.2+ years of healthcare experience.
Experience
utilizing a PC computer to navigate different computer systems and
experience utilizing Microsoft Excel, Word, and Outlook to perform job
functions.
Preferred Qualifications:

Associate's degree.Experience with medical terminology.Experience with benefits management.Claims and/or healthcare insurance 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.
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.