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Patient Care Coordinator

Company: Optum
Location: Newport Beach
Posted on: June 30, 2024

Job Description:

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. -
The Patient Care Coordinator is responsible for the completion of set processes and protocols, working cooperatively with all members of the care team to support the vision and mission of the organization, delivering excellent customer service and adhering to Lean processes, and supporting the teams in meeting financial, clinical and service goals.
Schedule: Monday - Friday 8:00AM - 5:00PM
Location: 7 Technology Drive, Irvine, CA 92618
Primary Responsibilities:

Respond to patient questions in over the phone
Greet patients and build rapport to provide a positive patient experience
Make patient follow up calls (e.g., after procedures, admissions, or ER visits) to identify/close gaps in care
Ask patients for and/or assist patients with completing required paperwork (e.g., health history, insurance documentation, etc.)
Connect patients with outside resources (e.g., community resources, social services) to promote self care
Review and support implementation of patient plan of care
Work directly with patients to identify specific needs and/or request adjustments to plan of care
Coordinate services/case management for non-episodic and non-catastrophic cases
Manage/respond constructively to challenging patient interactions (e.g., address lack of understanding, socioeconomic challenges, frustrated patients, language barriers)
Explain and talk to patients or caregivers about sensitive health care decisions such as advanced directives, physician's order for life sustaining treatment, and palliative care/hospice referrals
Explain and ensure understanding of details related to patient care (e.g., , home health care transition procedures
Explain medical benefits/coverage specifics (e.g., procedures/amounts covered, denials of coverage, appeal rights)
Work collaboratively with Centralized Services to support patient needs
Establish and maintain relationships with service providers for patient's coordination of care
Ensure work is being performed according to company policies, procedures, and standards
Provide high quality care and service excellence to our patients
Perform other administrative and clerical duties as assigned
Participate in a variety of department initiatives
Ensure all OSHA, HIPAA, and other regulations are followed
Follow proper reporting protocols for any compliance or incident reporting as needed
Maintain strict patient and employee confidentiality
Other duties and responsibilities, not specifically described, maybe defined or assigned from time to time, consistent with knowledge, skills and abilities of the incumbent by management

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. -Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: -

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 higher)
1+ years of medical front desk experience
1+ years of electronic medical record experience
1+ years of health plan insurance experience
Beginner level of proficiency with MS Office (Word, Excel, Outlook, etc.)

Preferred Qualifications:

Experience with data analysis software
Bilingual (English / Spanish)

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California Residents Only: -The hourly range for California residents is -$16.54 to $32.55 -per hour. -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. -
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Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. -
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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.
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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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#RPO #Red
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Keywords: Optum, Newport Beach , Patient Care Coordinator, Other , Newport Beach, California

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