Clinical Administrative Coordinator

UnitedHealth GroupSan Diego, CA
Hybrid

About The Position

Optum Behavioral Solutions, in partnership with the County of San Diego, is seeking a dedicated and detail-oriented Clinical Administrative Coordinator (CAC) to join our Utilization Management team. This role is essential in supporting day-to-day administrative operations and ensuring seamless coordination between providers, internal departments, and external stakeholders. As a CAC, you will play a key role in delivering exceptional customer service, managing provider communications, and maintaining accurate documentation. You’ll collaborate closely with clinical and administrative teams to support the delivery of high-quality behavioral health services. This position begins with in-office training and offers the opportunity to transition to a hybrid schedule—up to three days per week remote—based on business needs (subject to change).

Requirements

  • High School Diploma / GED OR equivalent work experience
  • Must be 18+ years of age OR older
  • 1+ years of experience in customer service OR healthcare administration
  • 1+ years of data entry experience in a clerical OR administrative role
  • Proficiency in Microsoft Word, Microsoft Excel, Microsoft Adobe, and general PC navigation
  • Experience handling confidential patient information
  • Ability to obtain and maintain access to San Diego County’s EHR systems and Designated Databases
  • Reside in the state of CA and be willing to work in the San Diego office
  • Ability to work 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 9:30 am - 6:00 pm PST. Initial onboarding and training will follow a temporary schedule of 8:30 am - 5:00 pm. Per business need there may be the need to be on-site up to 5 days per week. It may be necessary, given the business need, to work occasional overtime.
  • Typing speed of 50+ WPM with high accuracy
  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  • Reside within commutable distance to the office at 3131 Camino Del Rio N San Diego, CA, 92108
  • 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

Nice To Haves

  • Experience in a healthcare setting (hospital, clinic, insurance)
  • Familiarity with ICD-10, CPT codes, Medicare / Medicaid
  • Call center experience
  • Working knowledge of medical terminology

Responsibilities

  • Process and track a wide range of authorization requests, ensuring accuracy and adherence to established turnaround times
  • Distribute clinical documentation and work products to licensed clinicians for timely review and decision-making
  • Serve as a backup resource for other Clinical Administrative Coordinator functions, providing flexible support based on team needs and availability
  • Sort and manage incoming communications, including e-faxes, physical mail, and scanned documents, ensuring they are routed appropriately and processed efficiently
  • Purge outdated documents and maintain organized, compliant records in accordance with retention policies
  • Perform facsimile, photocopying, and general administrative support tasks as directed by team leaders, supervisors, or managers
  • Accurately direct visitors and incoming calls to the appropriate departments or staff members, and take clear, detailed messages when necessary
  • Actively pursue professional development through Optum’s Common Language of Leadership framework to continuously enhance your skills and performance
  • Crosstrain in Clinical Administrative Coordination and Utilization Management processes to support a collaborative and agile team environment
  • Adapt to process updates and implement changes promptly to maintain compliance, efficiency, and service quality
  • Perform other duties as assigned by Clinical Managers or Clinical Administrative Manager, contributing to a high-performing, mission-driven team

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
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