Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Care Navigators will carry a case load and will work with clinical staff. Coordinate care with providers, schedule appts, arrange transportation, make sure members are aware of all their benefits, check for upcoming appts and schedule & identify gaps for members.

This position is full-time. Employees are required to work our normal business hours of 9:00am – 5:30pm local time. It may be necessary, given the business need, to work occasional overtime.

We offer 2 weeks of classroom and 1 week on-the job training / precepting. The hours during training will be 9:00am – 5:30pm local time. Training will be conducted virtually from your home.

If you are located within the state of DC, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

Completes telephonic outreach to DSNP/CSNP members utilizing multiple outreach modes: including auto-dialer, manual and inbound calls
Educates member on gaps in care and assists with closure of gaps, including scheduling provider appointments
Assists members with social determinants of health and links to community resources
Ensures member has access to PCP
Outreaches members on caseload consistent with program guidelines
Consistently meets metrics, both quality & performance
Provides excellent customer service to both members and providers
Constantly maintains schedule adherence and good attendance
Maintains confidential health information according to state and federal regulations including HIPAA.

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
Must be 18 years of age OR Older
1+ years of Call Center and / or Telephonic Customer Service experience
1+ years of professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties
1+ years of Healthcare/ insurance experience and/or Social work/community outreach/advocacy experience
1+ years of experience analyzing and solving customer problems
Work experience using Microsoft Word (edit, create & save documents), Microsoft Excel (sorting & filtering data), and Microsoft Outlook (email, folders, attachments and calendaring)
Must have capability to work from home (access to high speed broadband)
Must be able to attend 100% of the 3-week training period. Time off requests will no be accommodated during this time
Ability to work our normal business hours of 9:00am – 5:30pm local time. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

Social Work, Public Health or related field
Bilingual English and Spanish or other language
Previous experience as a telecommuter
Medicaid and / or Medicare experience
Experience working with medical terminology

Telecommuting Requirements:

Reside within the state of DC
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

Must be able and comfortable with maintaining metrics and goals within the department
Must be comfortable working on the phone and multiple systems on the computer simultaneously while assisting members
Must be comfortable making outreach to members without prior engagement
Excellent Organizational Skills

All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

#RPO

Optum

Latest Jobs

Telephonic Care Navigator - Remote in DC

Telephonic Care Navigator - Remote in DC