Telephonic Care Navigator

UnitedHealth Group • Dayton, OH

251d • $19 - $38 • Remote

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. Our Telephonic Care Navigators have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care. 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 9:00am - 5:30pm local time. It may be necessary, given the business need, to work occasional overtime. We offer 2 weeks in classroom plus 1 week of on-the-job training / precepting. The hours of the training will be based on schedule or will be discussed on your first day of employment. If you are located in Ohio, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

• High School Diploma / GED OR equivalent work experience
• 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 (edit, create & save documents), Microsoft Excel (sorting & filtering data), and Microsoft Outlook (email, folders, attachments and calendaring)
• Ability to work from home (access to high-speed broadband)
• Ability to attend 100% of the 3 weeks training period. Time off requests will not be accommodated during this time
• 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 9:00am - 5:30pm local time. It may be necessary, given the business need, to work occasional overtime.

Nice To Haves

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

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

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED