RCC Clinical Administrative Coordinator - Las Vegas, NV

Optum NV is seeking a RCC Clinical Administrative Coordinator to join our team inLas Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim.

We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country.

Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring.

Connecting. Growing together.

The RCC Clinical Administrative Coordinator (CAC)maintains accountability, promotes growth and communication within the Case Management (CM), and RCC teams.

The CAC functions as part of a team that assists with specific work with patients. The CAC is responsible for receiving inbound Telephone Advice Nurse (TAN) and CM patient calls and appropriately address or transfer the calls as needed.

The CAC is responsible for making outbound calls to members to assist with appointments, and to screen for any assistance needed.

The CAC coordinates clerical functions for the coordination as requested by CM team. The CAC is responsible for clear documentation and communication regarding any delegated duties and member contacts.

The CAC interacts with other team members concerning patient needs identified during the course of day-to-day activities.

The CAC gathers patient data through telephonic communication with members, electronic medical records, or provider offices to provide information to the CM team.

The CAC may be directed to develop and generate reports.

It is busy. It’s a call center set up. Taking inbound calls. Must be ready to answer calls starting at 8am. There is little documentation as part of the process.

Metrics based - have goals to meet. Average 50 calls per day.

This position is full-time, Monday - Friday. Employees are required to work during our normal business hours of 8 : 00am - 5 : 00pm.

It may be necessary, given the business need, to work occasional overtime. Our office is located at N Tenaya Way, Las Vegas, NV.

Employees are required to work some days onsite and some days from home.

We offer 4-6 weeks of on-the-job training. The hours of training will be based on your schedule or will be discussed on your first day of employment.

If you are within commutable distance to the office at N Tenaya Way, Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

Primary Responsibilities :

Primary responsibility is answering phones :

oCalls that are received for Telephone Advice Nurse (TAN) and transfer to that team

oCalls that are received for Complex Case Management (CCM) and transfer to that team

• Verify eligibility for members
• Function as a member of an interdisciplinary team to facilitate patient care
• Assist with care planning activities to include gathering needed information, following up with provider office staff as needed
• Process referrals in Touch Works (TW)
• Build cases in Clinical Care Advance (CCA) and add all initial assessments to CM team Outlook Calendar
• Carry a Census of CCM patients with Low Acuity
• Timely completion of Provider Summaries for those patients on CCM CAC census
• Placing telephone calls to patients and assist appropriately
• Assist Case Management team with setting patient appointments, gathering documentation and providing follow-up as directed
• Maintain accountability and promote growth within the CAC team
• Work the report spreadsheet assignment
• Other duties as assigned by Supervisor, for program integrity

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.

Required Qualifications :

• High School Diploma / GED
• Must be 18 years of age OR older
• 6+ months of experience in Medical Terminology
• 6+ months of Customer Service or Patient Care experience in a Healthcare Facility (examples : doctor’s office, hospital)
• Proficiency with computer and Windows PC applications
• Must be able to work onsite and remotely (hybrid position)
• Ability to work Monday - Friday, in any of our 8-hour shift schedules during our normal business hours of 8 : 00am - 5 : 00pm, including the flexibility to work occasional overtime, based on the business need

Preferred Qualifications :

• 1+ years of experience in a managed acute and / or clinic care setting
• Knowledge of managed health care system
• Knowledge of the Medicare Advantage and Chronic Special Needs Plans

Telecommuting Requirements :

• Reside within a commutable distance to the office at N Tenaya Way, Las Vegas, NV
• 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

Soft Skills :

• Ability to assist with coordination of medical information
• Able to multi-task in various environments
• Good organizational, oral, and written communication skills
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nevada Residents Only : The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and k contribution (all benefits are subject to eligibility requirements).

No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.

We believe everyone of every race, gender, sexuality, age, location, and income deserves the opportunity to live their healthiest life.

Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere : UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.