Triage Analyst

UnitedHealth Group•Phoenix, AZ

2d•$24 - $43•Hybrid

About The Position

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.SM

Requirements

High School Diploma / GED or equivalent work experience
Must be 18 years of age or older
1+ years of experience in healthcare quality, clinical operations, case management, regulatory compliance, or a related healthcare field
Experience with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Proficiency with Microsoft Word (ability to open, edit, save and send documents), Microsoft Excel (ability to work with multiple databases to retrieve and enter information)
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
Ability to work 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)

Nice To Haves

Active, unrestricted LPN license
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