Health Advocate - Remote in Cypress, CA

About the position

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. Responsible for welcoming and orienting prospective patients to care management services and coordinating delivery of quality services through appropriate data gathering and resource referrals. Acts as the primary point of contact to facilitate effective patient communication in support of the care management team to ensure continuity of care across the care continuum and improve patient outcomes. This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00 am - 5:00 pm PST. Our office is located at 5701 Katella Ave., Cypress, CA 90630. We offer 4 weeks of on-the-job training. The hours during training will be 8:00 am - 5:00 pm PST, Monday - Friday. (Day 1 onsite to receive equipment and then they will be remote) If you are located within a commutable distance to the office at 5701 Katella Ave., Cypress, CA 90630, you will have the flexibility to work remotely* as you take on some tough challenges.

Responsibilities

• Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
• Serves as a primary point of contact between patient and health care team to anticipate and appropriately address patient questions and concerns.
• Confirms patient understanding of primary care physician (PCP) assignment and educates patient on available tools, resources, appropriate and new services available.
• Conducts patient outreach to facilitate patient understanding of healthcare systems and services through the use of standardized scripts including mailings of welcoming packages, needed materials and thank you letters.
• Initiates data gathering through record review and telephonic outreach to complete timely and accurate documentation of appropriate care management forms for selected patient population.
• Ensures timely outreach to selected patient population and provides hand-off to care manager.
• Utilizes motivational interviewing techniques, facilitates communication with patient / caregiver for program engagement.
• Ensures ongoing coordinated management of patient care with appropriate resource allocations, referrals and notifications that are purposeful, supportive and interconnected with team members.
• Notifies care management team of patient requests, need for referral and facilitates referrals.
• Facilitates the identification, recommendation and appropriate enrollment to care management programs, patient transportation and other community-based assistance or support programs for selected patient population.
• Assists in care delivery through the provision of scripted health education and monitoring.
• Expedites completion of necessary forms and paperwork, confirms mailings, receipt of pertinent mailed materials, coordinates and tracks outstanding government / plan obligations and notifies appropriate team members for follow ups.
• Meets or exceeds productivity targets.
• Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Performs additional duties as assigned.

Requirements

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience with working in the health care industry - hospital, physician's office OR medical clinic setting
• Experience with computers and Windows based programs including Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Access
• Knowledge of Medical terminology
• Ability to work between the hours of 8:00 am - 5:00 pm PST from Monday - Friday

Nice-to-haves

• 1+ years of experience with working as a medical assistant
• Certified Medical Assistant (CMA)
• Case Management experience
• Understanding of Medicare and MediCal / Medicaid benefits
• Experience with working with Population Health

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution