Patient Navigator - Riverdale, NY
Company: UnitedHealth Group
Location: Bronx
Posted on: May 21, 2023
Job Description:
Optum in the tri-state region (formerly CareMount Medical,
ProHEALTH New York and Riverside Medical Group) offers an
interconnected network that enables us to work collaboratively to
better coordinate care among our doctors and care teams. Together,
we offer you and your family access to more than 2,100 providers,
representing 70 specialties, working in 360 medical practices and
more than 55 urgent care locations across New York, New Jersey, and
Southern Connecticut. For more information, visit . At Optum, we
are transforming healthcare nationally while providing
physician-led care locally. Work with the largest care delivery
organization in the world and start doing your life's best
work.(sm) Like you, UnitedHealth Group is solid on innovation. And
like you, we'll go the distance 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 a chance to make an impact.Location:
Riverdale, NYSpecialty: Internal MedicineSchedule: Monday-Friday
11:00am-8:00pm with rotating SaturdaysPrimary Responsibilities
- Manage administrative intake of members
- Work with hospitals, clinics, facilities and the clinical team
to manage requests for services from members and/or providers
- Process incoming and outgoing referrals, and prior
authorizations, including intake, notification and census
roles
- Assist the clinical staff with setting up documents/triage
cases for Clinical Coverage Review
- Handle resolution/inquiries from members and/or providersThis
is high volume, customer service environment. You'll need to be
efficient, productive and thorough dealing with our members over
the phone. You also must be able to work a flexible schedule that
includes evening hours.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:
- HS Diploma or GED
- 2+ years of customer service experience
- Experience with MS Word, Excel and Outlook
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodationPreferred
Qualifications:
- Experience working within the health care Industry and with
health care insurance
- Experience working in a hospital, physician's office or medical
clinic setting
- Experience working in a call center
- A clerical or administrative support background
- Knowledge of ICD-9 and CPT codes
- Fluent in SpanishTo protect the health and safety of our
workforce, patients and communities we serve, UnitedHealth Group
and its affiliate companies require all employees to disclose
COVID-19 vaccination status prior to beginning employment. In
addition, some roles and locations require full COVID-19
vaccination, including boosters, as an essential job function.
UnitedHealth Group adheres to all federal, state and local COVID-19
vaccination regulations as well as all client COVID-19 vaccination
requirements and will obtain the necessary information from
candidates prior to employment to ensure compliance. Candidates
must be able to perform all essential job functions with or without
reasonable accommodation. Failure to meet the vaccination
requirement may result in rescission of an employment offer or
termination of employmentCareMount Medical, ProHEALTH Care
Associates, and Riverside Medical Group (the "Practices") are all
physician owned and led practices having complete authority for all
medical decision-making and patient care through their physicians
and other licensed professionals. Optum, through its management
organizations ("Optum") provides non-clinical administrative
services to support the Practices and their physicians. Neither
Optum nor its management companies employ, engages, or supervises
physicians or other licensed professionals, or determines or sets
the methods, standards, or conduct of the practice of medicine or
health care provided by the Practices or by any of their licensed
professionals. "Part of Optum" reflects that the Practices are part
of Optum's effort to support forward-thinking physician practices
in helping their patients live healthier lives.Careers with Optum.
Our objective is to make health care simpler and more effective for
everyone. With our hands at work across all aspects of health, you
can play a role in creating a healthier world, one insight, one
connection and one person at a time. We bring together some of the
greatest minds and ideas to take health care to its fullest
potential, promoting health equity and accessibility. Work with
diverse, engaged and high-performing teams to help solve important
challenges.New York Residents Only: The hourly range for New York
residents is $16.00 to $31.44. 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.
Keywords: UnitedHealth Group, New Rochelle , Patient Navigator - Riverdale, NY, Other , Bronx, New York
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