Location: Poughkeepsie,NY, USA
Optum New York, (formerly Optum Tri-State NJ) is seeking a Care Team Associate to join our team in Poughkeepsie, New York. Optum is a clinician-led care organization that is changing the way clinicians work and live.
As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
The Care Team Associate (CTA) will effectively support the successful implementation and execution of all Care Management processes. The Care Team Associate will provide support to care management team including CM manager, CM Director, and CM Vice President to ensure applicable program processes and operational responsibilities are met. The CTA provides support for Care Management processes. This position is responsible for the daily census management, task management, and general coordination functions. This position will serve as a liaison with internal/external customers/departments to ensure optimal customer service.
This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm(flexible to 8:30am). It may be necessary, given the business need, to work occasional overtime.
We offer 2 weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment.
Our office is located at 6 Neptune Rd., Poughkeepsie, NY 12601. If you are located within commutable distance of the office or 2 hours away of this location, you may opt to work onsite, OR otherwise, enjoy the flexibility to work from home as you take on some tough challenges.
Primary Responsibilities:
* Provides clerical and/or administrative support to clinical staff and managers for special projects and reporting needs
* Documents all member interactions in a concise manner that is compliant with documentation requirements for Model of Care, NCQA and Center for Medicare and Medicaid Services (CMS) regulations
* Receives and responds to incoming Care Coordination inquiries from all communication venues: e.g., phone queue, CM/UM electronic platform, portal, department e-mail box or RightFax
* Coordinates and assists in monitoring of documentation Care Management queues for Disease Management, Transitions of Care, Complex Care, and Social Work referrals
* CTA processes CM requests via all communication venues; as well as administrative preparation for clinical staff
* Conducts in-bound and out-bound calls for program requirements including, but not limited to member scheduling, surveys/screenings, satisfaction/complaints, census management and distribution of materials to appropriate clinical personnel or members
* Completes timely data entry of in-bound and/or out-bound call member contact information into software applications
* Provides excellent customer service by serving as a resource to all internal and external customers
* Attends required meetings and participated in adhoc committees as needed
* Maintains knowledge of all health plan benefits, network, NCQA regulations, health plan policies
* Identifies opportunities for process improvement in all aspects of member care
* Provides effective communication to improve the patient's health literacy.
* Must maintain strict confidentiality at all times
* Must adhere to all department/organizational policies and procedures
* Performs all other related duties as assigned
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 OR older
* Ability to toggle between multiple IT systems and platforms
* Medical terminology knowledge base
* Ability to prioritize, plan, and handle multiple tasks/demands simultaneously
* Advanced knowledge of Microsoft Office products, including Excel, Word, and Outlook
* Ability to work Monday-Friday, 8am-5pm (flexible to 8:30am)
Preferred Qualifications:
* Certified Medical Assistant training or certification
* 2+ years of experience in a physician's clinic or hospital
* Additional years of experience working in a medical care setting as a receptionist or medical assistant
* Ability to work independently, with some supervision and direction from manager
* Possess and demonstrate excellent organizational skills, customer service skills, to include verbal and written communication
* Maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
* 2+ years of administrative support experience
* Medical terminology knowledge base
Telecommuting Requirements:
* Reside within 6 Neptune Rd., Poughkeepsie, NY 12601
* 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
Physical and Work Environment Requirements:
* Ability to lift up to 25 pounds
* Ability to sit for extended periods of time
* Ability to stand for extended periods of time
* Ability to use fine motor skills to operate office equipment and/or machinery
* Ability to receive and comprehend instructions verbally and/or in writing
* Ability to use logical reasoning for simple and complex problem solving
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
New York Residents Only: The hourly range for this role is $16.00 to $28.27 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.
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.
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