Telephonic Care Navigator - Remote in NC

About the position

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

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

Requirements

• High School Diploma / GED
• 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 with analyzing and solving customer problems
• Work experience with using Microsoft Word (create, edit, and save documents), Microsoft Excel (sorting and filtering data), and Microsoft Outlook (email, folders, attachments, and calendaring)
• Ability to work any of our full time, 8-hour shift schedules during our normal business hours of 9:00 AM - 5:30 PM EST from Monday - Friday

Nice-to-haves

• Social Work, Public Health, OR related field
• Medicaid and / OR Medicare experience
• Experience in working with medical terminology
• Bilingual fluency in English and Spanish OR any other language

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Paid on-the-job training for 3 weeks
• Flexible work arrangements for North Carolina residents
• Opportunity for overtime based on business needs