Case Management Assistant 2374613 | Boulder, Colorado

Care Management Assistant

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

The Care Management Assistant (CMA) provides clerical, secretarial and administrative support for the Care Management Team. Under the direction and supervision of the licensed staff, the CMA performs the following activities and processes; post-acute care coordination (Skilled Nursing Facility, Home Health Care, Durable Medical Equipment, Hospice, etc.,) revenue related activities (authorizations, certifications and payer communications), stocking and monitoring office supplies and equipment while maintaining accurate and complete departmental records. This position may function as the point of contact for the care management department and is responsible for the professional and timely response to calls, messages and the forwarding of communications to the responsible party. The CMA may be assigned other duties within the scope of the role, including, but not limited to, scheduling, faxing, auditing, transcribing, filing, delivering, sorting, editing, tracking and correlating the departments documentation, records and forms. This position emphasizes optimizing the licensed staff's productivity by providing clerical support, managing confidential patient information and ensuring the compliant and accurate management of departmental records and communications.

This position is full-time, Sunday to Thursday. Employees are required to have flexibility to work an 8-hour shift schedule during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.

We offer on the job training. Training hours are aligned to your schedule.

Primary Responsibilities:

• The CMA complies with confidentiality policies, HIPPA regulations and organizational standards when transmitting protected patient information to external agencies and vendors as needed for placement, payment or referral.
• The CMA provides administrative support for the department by performing assigned tasks or activities that do not require a clinical license.
• The CMA ensures office supplies and department equipment are available, current and functional.
• The CMA schedules arranges and facilitates post-acute care referrals, Durable Medical Equipment, or follow up appointments under the supervision of licensed staff. This includes daily updates or communication between the department and post-acute provider regarding changes in anticipated discharge date, needs or plan.
• The CMA prioritizes and forwards communications relating to insurance requests, denials and Physician Advisor status recommendations to the appropriate Care Manager and documents any related authorizations, denials or status determinations in the designated EMR or software program.
• This position may obtain patient or family signatures on required documentation under the supervision of the clinical staff and maintains such documents in accordance with hospital policy.
• Ability to effectively read, write, and speak, cognitively process and emotionally support performing other duties as assigned.
• All employees are expected to remain flexible to meet the needs of the hospital, which may include floating to other departments to assist as the patient needs fluctuate.
• Other duties as assigned

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• Experience working in the healthcare or medical insurance industry
• Proficiency in Microsoft Office applications, including Microsoft Word (create/edit documents), Microsoft Outlook (send/receive emails) and Microsoft Excel (data entry, manipulation of spreadsheets)
• Ability to work onsite in Boulder, CO
• Ability to work Sunday to Thursday
• Ability to work full-time between 8:00am - 5:00pm including the flexibility to work occasional overtime given the business need

Preferred Qualifications:

• 1+ years of experience in an office or medical environment
• 1+ years of customer service experience
• Epic experience

Soft Skills:

• Excellent customer service and presentation skills
• Strong interpersonal and written communication skills
• Demonstrated ability to apply analytical and problem-solving skills
• Demonstrated ability to manage multiple tasks or projects effectively
• Ability to work independently as needed with a high degree of detail orientation
• Ability to work efficiently in a fast-paced environment with changing priorities

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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