Triage Analyst

UnitedHealth Group•Phoenix, AZ

2d•$24 - $43•Remote

About The Position

This position is Remote in Arizona. If you are located within commutable distance to the office at 1 East Washington Street, Phoenix, AZ 85004., you will have the flexibility to work remotely as you take on some tough challenges. At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. For those who want to be a part of the future of health care, here’s your opportunity. As part of our quality management team, you’ll help assist the Clinical Quality Analyst with multiple aspects of quality of care (QOC) investigation which includes management of the regulatory Incident/Accident/Death (IAD) portal, opening and managing cases in the internal QOC data base, triaging cases and initiating medical record retrieval based upon clinical judgement. All the while, you’ll be building your career with a leader and reaching for the highest levels of performance as you do your life's best work. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work an 8-hour shift schedule during our normal business hours of (8:00am - 5:00pm MST). It may be necessary, given the business need, to work occasional overtime. Our office is located at 1 East Washington Street, Phoenix, AZ 85004. The position requires a minimum onsite presence of once every six weeks for meetings and office related work. Onsite requirements are subject to change based on business needs. Primary Responsibilities: Manage and triage QOC referrals from internal and external sources Create and maintain confidential electronic investigation files for QOC cases Create and manage entries into the regulatory IAD portal Initiate medical record requests for QOC investigations based upon clinical nursing judgement Collaborate internally with Clinical Quality Analysts and staff in other UHCCP departments Manage multiple tasks and projects and changing priorities; prioritize work products effectively This is a challenging role with serious impact. It’s a fast-paced environment that takes focus, intensity and resilience 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.

Requirements

High School Diploma / GED OR equivalent work experience
Must be 18 years of age OR older
Active, unrestricted LPN license
1+ years working in the health care industry
Proficiency with Microsoft Word (ability to open, edit, save and send documents), Microsoft Excel (ability to work with multiple data bases to retrieve and enter information)
Experience with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
The position requires a minimum onsite presence of once every six weeks for meetings and office related work. Onsite requirements are subject to change based on business needs
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work an 8-hour shift schedule during our normal business hours of (8:00am - 5:00pm MST)
Reside within commutable distance to the office at 1 East Washington Street, Phoenix, AZ 85004
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
Effective communication skills
Attention to detail and accuracy
Collaborative and team oriented mindset
Time management and prioritization
Organization and workflow management

Nice To Haves

2+ years of experience working as a Licensed Practical Nurse
Experience working in a deadline driven environment prioritizing responsibilities
Knowledge of Medicare/Medicaid regulations

Responsibilities

Manage and triage QOC referrals from internal and external sources
Create and maintain confidential electronic investigation files for QOC cases
Create and manage entries into the regulatory IAD portal
Initiate medical record requests for QOC investigations based upon clinical nursing judgement
Collaborate internally with Clinical Quality Analysts and staff in other UHCCP departments
Manage multiple tasks and projects and changing priorities; prioritize work products effectively