Wellness Coordinator
$17.74 - $31.63 per hourOptum
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This position is Remote within the state of California. You will have the flexibility to work remotely* as you take on some tough challenges. 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, dataand resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefitsand career development opportunities. Come make an impact on the communities we serve as you help us advance health optimizationon a global scale. Join us to start Caring. Connecting. Growing together.
Wellness Coordinators, answer queue based incoming phone calls from health care providers and members, identifying type of assistance needed (benefits and eligibility, authorizations for treatment, provider referrals and resource identification). This position will also gather clinical information for licensed staff to render decisions based on clinical policy. 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 8:00am - 4:30pm PST. It may be necessary, given the business need, to work occasional overtime. We offer weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment. Primary Responsibilities- Focus on one call resolution, navigating through complex computer systems to identify the status of the request and provide appropriate response to caller
- Deliver information and answer questions in a confident manner to facilitate positive outcomes with the providers and members we serve
- Complete thorough documentation of call interactions with real time talking and typing
- Serve as a resource or Subject Matter Expert for team members or internal customers
- Make outbound calls to families who have a child with Autism to discuss provider referrals and behavioral health needs
- Data collection from providers, inputting information into multiple documentation systems
- Contact providers to clarify information, review benefits and authorizations, and assist with care coordination
- Coordinate information to clinical team partners
- Triage submission of clinical information, set up cases to improve timely review, and complete administrative follow-ups on cases
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
- More information can be downloaded at:
- High School Diploma/ GED or equivalent work experience
- Must be 18 years of age OR Older
- 3+ years of experience within the behavioral health field
- 1+ years of experience in Microsoft Office (including Word, Excel, PowerPoint and Outlook)
- 1+ years of experience Telephonic Customer service
- Must reside in the state of California
- Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 4:30pm PST. It may be necessary, given the business need, to work occasional overtime
- Managed care experience
- Experience with Autism Spectrum Disorder
- Experience working within a medical/behavioral setting (e.g. hospital, managed care organization, or joint medical/behavioral outpatient practice)
- Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
- Working knowledge of community-based resources and services
- Bilingual fluency with English and Spanish
- Reside within the state of California
- 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
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Seniority level
Seniority level
Mid-Senior level
Employment type
Employment type
Full-time
Job function
Job function
Health Care Provider-
Industries
Hospitals and Health Care
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