Company Detail

Job Description

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, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephonic Oncology Preservice Review Nurse you will be performing pre-service clinical coverage review of services that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determines medical appropriateness of outpatient services following evaluation of medical guidelines and benefit determination. Ready for a new path? Apply today!

This position is work at home. Work schedule is full time and offers some flexibility with a combination of day and consumer hours. Some evening, holidays and weekend hours will be required. Core schedule is normal daytime business hours. Three evenings per month will be required to work until 7pm, one weekend day will be required approximately every 3 months, ability to work 5/8's or 4/10's after training based on business need.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial)

• Validate that cases/requests for services require additional research

• Identify and utilize appropriate resources to conduct non-clinical research (e.g., benefit documents, evidence of coverage, state/federal mandates, online resources)

• Prioritize cases based on appropriate criteria (e.g., date of service, urgent, expedited)

• Ensure compliance with applicable federal/state requirements and mandates (e.g., turnaround times, medical necessity)

• Review/interpret clinical/medical records submitted from provider (e.g., office records, test results, prior operative reports)

• Identify missing information from clinical/medical documentation, and request additional medical or clinical documentation as needed (e.g., LOI process, phone/fax)

• Review and validate diagnostic/procedure/service codes to ensure their relevance and accuracy, as applicable (e.g., PNL list, EPAL list, state grid, LCDs, NCDs)

• Identify and validate usage of non-standard codes, as necessary (e.g., generic codes)

• Apply understanding of medical terminology and disease processes to interpret medical/clinical records

• Make determinations per relevant protocols, as appropriate (e.g., approval, denial process, conduct further clinical or non-clinical research)

• Review care coordinator assessments and clinical notes, as appropriate

• Identify relevant information needed to make medical or clinical determinations

• Identify and utilize medically-accepted resources and systems to conduct clinical research (e.g., clinical notes, MCG, medical

• This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure (Application fees and filing costs paid for by UHG)

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:

• Current, unrestricted RN license in your state of residence

• Ability to obtain licensure in other states as needed

• 2+ years of Radiation Oncology experience as a Nurse

• Computer proficiency, to include solid data entry skills and the ability to navigate a Windows environment

• Access to high speed internet from home (Broadband cable, Fiber or DSL)

• Dedicated workspace for home office set up

• Ability to work schedule listed

Preferred Qualifications:

• OCN Certification

• Chemo/Bio Certification

• Certified Case Manager (CCM)

• 7+ years of Radiation Oncology experience

• ICD Coding experience or solid knowledge of codes

• NCCN experience

• Background in preservice review/utilization review/utilization management

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington or Washington, D.C. Residents Only: The hourly range for this role is $28.03 to $54.95 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 401k 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.

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 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.

Job Detail

• Company:
  UnitedHealth Group

Job Description

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

"A Day in the Life" video

Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.

Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.

We seek a Float Senior P harmacy Technician to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a registered pharmacist.

Hours: Pharmacies in the area you will be covering will be open Monday-Friday, 8:00am-5:30pm PST

Location : You will be a float technician that will cover all sites in OR for PTO coverage. The cities will include: Medford, Portland-Metro, Grants Pass, Roseburg, Eugene, Salem, Gresham, Sandy, Astoria, Newport, Coos Bay, Bend, St. Helens, and potentially Ontario.

Primary Responsibilities:

• Provide exceptional customer service to all consumers and members of the clinic staff

• Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist

• Orders, receives and stores incoming pharmacy supplies

• Receives and processes wholesaler medication orders

• Verifies medication stock and enters data in computer to maintain inventory records

• Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements

• Performs various clerical duties relating to the department

• Communicates with strong professional verbal and written communication skills

• Other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• 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: http://uhg.hr/uhgbenefits

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:

• Active and unrestricted Pharmacy Technician license in the state of Oregon

• National Pharmacy Technician Certification

• 2+ years of pharmacy and prescription data entry experience

• Access to reliable transportation

• Valid US driver's license

Preferred Qualifications:

• Long Term Care experience

• Travel/Floating Pharmacy Experience

*PLEASE NOTE The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.*

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.

#RPO, #Red

Job Detail

• Company:
  UnitedHealth Group

Job Description

The Clinical Supervisor will direct, supervise and coordinate staff and activities at assigned clinics to ensure the delivery of quality patient service. This position ensures staff complies with all regulatory initiatives and policies and procedures and works with senior management to support effective clinic operations. This position will also provide support to clinic staff in the absence of the Clinic Administrator. For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Location: This position will be based primarily out of our Fairlawn office but will also oversee multi-specialty offices in Streetsboro and Hudson.

Schedule: Monday - Friday, 8:00 a.m. - 5:00 p.m.

Primary Responsibilities:

• Supervises assigned personnel to ensure quality patient care, including forms and procedures as required

• Monitors clinic workflow and schedule to ensure productivity standards are met

• Administers clinic policies and procedures in a consistent and timely manner

• Evaluates performance and recommends merit increases, promotions, and disciplinary actions, assists in interviews, trains, and orients staff

• Ensures that office space, supplies, assistance are provided and maintained appropriately for medical staff and patient care

• Works with senior management to ensure operations and relations are effective

• Attends required meetings and participates in committees as requested

• Ensures personnel forms and/or records are kept updated and submitted to other departments in a timely manner

• Ensures that offices for new and incoming physicians are ready and equipped

• Coordinates staff work activities and serves as resource to medical management staff in various market(s)

• Collects clinic performance and quality metrics and produces reports for management

• Orders office and medical supplies and ensures sufficient quantities are maintained at all times. Assists the Clinic Administrator in budget preparation and adherence

• Coordinates conference calls and assist with preparation for meetings for medical management staff in market

• Performs all other related duties as assigned

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 or GED

• Professional healthcare license or certification

• 2+ years of clinic operations or healthcare experience, including 1+ years of supervisory experience (Comparable leadership/internship experience may be substituted in lieu of supervisory experience)

• Knowledge of organization policies and procedures and ability to apply principles to solve everyday problems in a variety of situations

• Knowledge of fiscal management and human resource management techniques

• Knowledge of office management techniques and practices

• Working knowledge of Microsoft Office applications, including Excel

• Computer literacy

• Proven ability to exercise initiative, problem solving, decision-making

• Proven ability to establish priorities and coordinate work activities

• Proven skill in gathering, analyzing, and evaluating data

• Proven skill in written and verbal communication

• Proven good communication and customer service skills

• This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

Job Detail

• Company:
  UnitedHealth Group

Job Description

Optum is seeking a Nurse Practitioner or Physician Assistant to join our Home-based Medical Care team in Manhattan. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

10K Sign on Bonus for external candidates

As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.

At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

Primary Responsibilities:

• Primary Care Delivery

• Deliver cost-effective, quality care to assigned members

• Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider

• Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations

• Responsible for ensuring that all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visit

• The APC is responsible for ensuring that all quality elements are addressed and documented

• The APC will do an initial medication review, annual medication review and a post-hospitalization medication reconciliation

• Facilitate agreement and implementation of the member's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians

• Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed

• Utilizes practice guidelines and protocols established by CCM

• Must attend and complete all mandatory educational and LearnSource training requirements

• Travel between care sites mandatory

• Care Coordination

• Understand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision-makers

• Assess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members

• Coordinate care as members transition through different levels of care and care settings

• Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change

• Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member's needs and wishes

• Evaluate plan of care for cost effectiveness while meeting the needs of members, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizations

• Program Enhancement Expected Behaviors

• Regular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, CCM staff and other provider groups

• Actively promote the CCM program in assigned facilities by partnering with key stakeholders (i e : internal sales function, provider relations, facility leader) to maintain and develop membership growth

• Exhibit original thinking and creativity in the development of new and improved methods and approaches to concerns/issues

• Function independently and responsibly with minimal need for supervision

• Ability to enter available hours into web-based application, at least one month prior to available work time

• Demonstrate initiative in achieving individual, team, and organizational goals and objectives

• Participate in CCM quality initiatives

• Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling

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:

• Certified Nurse Practitioner through a national board

• For NPs: Graduate of an accredited master's degree in Nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNP

• For PAs: Graduate of an accredited Physician Assistant degree program and currently board certified by the National Commission on Certification of Physician Assistants (NCCPA)

• Active and unrestricted license in the state which you reside

• Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)

• Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area

• Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations

• Availability to work 24 hours per month, with expectations that 16 of the 24 hours/month could be during off-hours (after 5 pm, on weekends, and/or holidays) not to exceed 960 hours in a calendar year

• Ability to gain a collaborative practice agreement, if applicable in your state

Preferred Qualifications:

• 1+ years of hands-on post grad experience within Long Term Care

• Understanding of Geriatrics and Chronic Illness

• Understanding of Advanced Illness and end of life discussions

• Proficient computer skills including the ability to document medical information with written and electronic medical records

• Ability to develop and maintain positive customer relationships

• Adaptability to change

California Residents Only: The hourly range for this role is $52.65 to $76.92 per hour. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. 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 401k 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.

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

Job Detail

• Company:
  UnitedHealth Group

Job Description

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

As part of the M&R Finance Data & Analytics team, this position supports our Government Program Pharmacy partners in making formulary, clinical, and operational decisions by providing meaningful analytics and reporting. The position serves as a subject matter expert in pharmacy and medical claims data and a consultant in meeting complex analytical needs.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Query pharmacy and medical claims/eligibility data from various UHG data sources

• Work closely with stakeholders to define requirements, pull and analyze claims data, and communicate results

• Build financial models to measure impact of formulary changes and support clinical and operational decision making

• Identify and solve complex analytical issues

• Identify opportunities to streamline processes

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:

• 5+ years of pharmacy and/or healthcare experience

• 3+ years of pharmacy data analytics and financial modeling experience

• 3+ years of coding in SAS/SQL and working with MS Excel

Preferred Qualifications :

• Proven critical thinking and problem solving skills

• Proven excellent story telling and communication skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. 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 401k 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.

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 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.

Job Detail

• Company:
  UnitedHealth Group

Job Description

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Purpose of Job:

• Development of clinical programs within the Laboratory & Genomics Team, as well as in collaboration with the Oncology and Specialties Teams, leveraging a cross-disciplinary team of program managers and analysts who will support the project plan, meetings, IT build, financing, savings opportunity assessment.

• Build Collaborative Relationships with Laboratories and Specialty Societies

• Partner with Payment Integrity and UHNetworks Teams to navigate billing, coding, and claims complexities of the laboratory space

This role will require a strong working knowledge of laboratory-focused strategic and critical thinking mindset with the ability to handle multiple priorities as well as the ability to drive implementation of initiatives with the support from Enterprise executive leaders to operational support teams.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Initiative Implementation and Oversight

• Manage resources including flexible and agile pool of Program Managers, assign projects and efficiently move it through the project lifecycle from end-to-end

• Oversee effective implementation of programs that have a variety of approaches and requirements in partnership with internal and external partners

• Build and develop relationships across teams to ensure effective support and feedback loops and that deliverables are met.

• Ensure Program Managers complete implementation activities needed to efficiently move programs through the project lifecycle

• Use problem solving skills and make decisions to move implementation forward

• Expert in reviewing, evaluating and documenting business requirements and facilitating discussions with operational and technology partners, based upon business requirements for IT-related projects.

• Ensure compliance with financial goals are being met

Payment Integrity Partnership

• Lead efforts to understand and solve for the complexities of coding and reimbursing laboratory services

• Ensure alignment with published guidelines and Society recommendations

• Use problem solving skills and negotiation skills to resolve discrepancies

• Represent UHC Value Creation Laboratory and Genomics team in internal and external discussions

Partnership Skills

• Develop and maintain strong relationships with executive leadership of internal teams and external vendors

• Partner with executive leadership from all LOBs to achieve mutual success on achieving/exceeding targets

• Develop and maintain strong relationships with provider groups/facilities for collaboration on clinical pilots and programs

• Oversee frequent cadence of communications to allow deeper understanding of shared objectives, emerging issues

Quantitative Analysis

• Develop cost benefit analyses and business cases for clinical programs

• Develop and analyze Key Performance Indicators for clinical program for each line of business to define timelines and documentation necessary for financial compliance and performance

• Interacting with HCE and LOB Finance teams to verify and report out on aggregate program performance

• Solve complex financial performance barriers

• Work with program managers and predictive analytics teams to accurately model performance expectations to set realistic financial goals

• Provide guidance to program managers in evaluation of data from analytic teams to correlate the expected affordability to the operational reality of the program

Research Skills

• Ability to search for, analyze and present innovative ideas regarding implementation of clinical programs in pipeline

Presentation Skills

• Speak clearly on complex problems across a wide range of audiences

• Provide regular updates regarding the implementation process and clinical programs for Joint Operating Committees, Team Leadership and Executive Sessions

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:

• 5+ years of healthcare experience with at least 3 years of laboratory/genomics experience

• 4+ years in a leadership / management role

• Superior data analysis skills and knowledge of Legal, Regulatory Health care requirements and Financial Performance reporting

• Sound strategic, analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes

• Solid history of quickly building relationships, gaining credibility and partnering with business leaders. Must excel at building teams and collaborating across multiple distinct business groups

• Ability to work with Agility team to design, build and implement IT support for clinical programs

• Ability to communicate effectively and efficiently (both verbal and written) at multiple levels of large, complex organizations

• Solid negotiation skills; the ability to gain acceptance from others of a plan or idea and achieve a mutually beneficial outcome

• Demonstrated ability to manage others; ability to influence in executive settings

• Strategic thinking with proven ability to communicate a vision and drive results

• Creative problem-solving skills

• Self-starter, initiates work independently

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, or Washington, D.C. Residents Only: The salary range for this role is $122,100 to $234,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al 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 401k 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.

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 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.

Job Detail

• Company:
  UnitedHealth Group

Job Description

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. If you are located in Minnetonka, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.

Primary Responsibilities:

• Collaborate with stakeholders across multiple business segments to drive and operationalize strategy in key Government Programs readiness processes and procedures

• Drive innovation in key processes. Verify business logic meets regulatory requirements and process execution matches business requirements. Proactively identify gaps and quickly develop complex analytic solutions to return to compliance

• Directs work supporting 5 key operations processes across data team. Plan 24-hour coverage for rejected claim review algorithm and ensure the 10 daily runs are process within tight compliance window

• Build solid relationships with key business partners and stakeholders. Effectively communicate complex analytical results to a wide range of audiences

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:

• 3+ years of experience in data analytics, specifically interpreting and communicating the results to a broad range of customers and business leaders

• 3+ years of experience with MS Office products

• 2+ years oof experience with SAS / SQL programming language

Preferred Qualifications:

• Experience analyzing pharmacy claims data

• Knowledge of data visualization tools such as Tableau and/or Power BI

• Proven solid interpersonal skills and ability to collaborate with internal customers across multiple departments

• Proven ability to approach issues from broad strategic perspective while also focusing on the details

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, or Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. 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 401k 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.

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 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.

Job Detail

• Company:
  UnitedHealth Group

Job Description

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Develop marketing reporting and analysis data infrastructure for Government Programs

• Execute and maintain marketing forecasting, tracking, and reporting processes

• Identify new data points to advance analytic capabilities and help turn into actionable information

• Drive implementation of Government Programs view of consumer into reporting and forecasting

• Predict emerging customer needs and develops innovative solutions to meet them

• Solve unique and complex problems with broad impact on the business

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:

• 3+ years of experience in building marketing data and analysis capabilities

• 3+ years of Experience in analytical roles (e.g. business analysis, data analytics)

• 3+ years of experience with SAS, SQL, Snowflake or Databricks

• Advanced knowledge of Tableau, Power BI or other visualization tools

• Ability to work in a rapidly changing environment and possess the ability to work collaboratively and influence across a matrix environment

Preferred Qualifications:

• 3+ years of Database Marketing and project management experience within a matrix organization

• Experience with forecasting marketing or telemarketing campaigns

• Experience with Adobe Experience Platform or Adobe Customer Journey Analytics

• Solid written and verbal communication skills

• Highly analytical with advanced problem-solving skills and excellent attention to detail

• Proven organizational skills with ability to be flexible and work with ambiguity

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, or Washington, D.C. Residents Only: T he salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al 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 401k 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.

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 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.

Job Detail

• Company:
  UnitedHealth Group

Job Description

$40,000 Student Loan Repayment Or $30,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

As a team member of our HouseCalls product, we provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

In this role you will have the ability to achieve work life balance. Flexible scheduling offered where providers can flex their time over the 7-day work week. No on-call, no weekends and no holidays required.

Primary Responsibilities:

• Conduct in-home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam

• Perform evidence-based practice screenings including point of care testing (as appropriate)

• Identify diagnoses to be used in care management and active medical management in the furtherance of treatment

• Formulate a list of current and past medical conditions using clinical knowledge and judgment and the findings of your assessment

• Communicate findings in your assessment that will be used to inform member's PCP of potential gaps in care

• Identify urgent and emergent situations and intervene appropriately

• Educate members on topics such as disease process, medication, and compliance

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:

• Active NP license or ability to obtain by start date. Licensure must be unencumbered, free of any open/unresolved disciplinary actions including probation or restrictions against privilege to practice

• APCs working in jurisdictions that authorize APCs to practice autonomously or without formal supervision must have obtained approval to practice autonomously or without formal supervision from their licensing board, if applicable. New hires who are eligible and have not applied prior to hire date, must apply to practice autonomously or without supervision within 1 month of hire. If not eligible to practice autonomously or without formal supervision at hire, the APC must begin working towards meeting the requirement within 1 month of hire, if applicable, and apply for approval to practice autonomously or without formal supervision within 3 months of becoming eligible

• Active ANCC or AANP national certification in Family, Geriatrics, Adult, Adult-Gerontology Primary Care, or Adult-Gerontology Acute Care certification, or the ability to obtain national certification and/or NP license in state of assignment by start date

• Ability to complete physical requirements of the job including lifting a 30-pound bag in and out of the car, navigating stairs and a variety of dwelling conditions, and sit, stand and kneel to perform physical assessment

• Reliable transportation to complete home visit assessments

Preferred Qualifications:

• 1+ years of clinical experience in their highest level of education, clinical setting

• May be requested to obtain additional licensure in other geographic areas

• Experience in gerontology, cardiology, internal medicine, or endocrinology

• Home Health care or home visit experience

• Ability to travel throughout the state, beyond your assigned region, up to 5% of the time. Based on business needs with advanced notice, eligible for additional compensation incentives

• Fluency in Spanish, Cantonese, Korean, Vietnamese, Polish, or other language

New York Residents Only: The salary range for this role is $88,000 to $173,200 annually. 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 401k 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.

Job Detail

• Company:
  UnitedHealth Group

Job Description

$ 10,000 Sign-on Bonus for External Candidates

*Landmark, part of the Optum family of businesses, is seeking a Nurse Practitioner to join our team in Pataskala, OH. 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.*

Position in this function works as a provider member within the HBMC interdisciplinary team in the direct delivery of home-based medical care of a population within an assigned geography. Dedicated to improving the health and well- being of patients, this position collaborates with the PCP, HBMC interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health professionals, to develop and carry out patients' goals of care in all phases of the patient journey.

Primary Responsibilities:

• Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants

• Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable

• Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter. Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with patients and/or their legal representatives to review newly developed or modified care plans; involves the PCP or supervising physician in these meetings, when applicable

• Completes follow-up and post-discharge assessments according to documented standard operating procedure

• Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions

• Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc. New hire and annual skills check/training provided

• Consults with hospital, emergency or post-acute clinical team following notification of patient transfer

• Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness

• Provides counsel, support and education to staff as appropriate

• Actively participates in ongoing meetings pertaining to patient care and clinical excellence

• Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery

• On-call for caseload during business hours. Participation in clinical after hours on-call program on rotational basis

• Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews

• Perform related duties as necessary and other duties as assigned

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:

• Completion of Nurse Practitioner accredited program

• Current state RN license

• Current NP license

• Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy

Preferred Qualifications:

• 2+ years clinical experience, primary care, home-based medical care, geriatrics or palliative care or emergency/urgent care

• Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems

• Knowledge of CPT, ICD-10 and HCPC codes

• Knowledge of clinical standards of care

• Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems

Landmark Health, a part of Optum, was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to patients. Our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve. At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. Join Landmark to be part of a growing company full of purpose-driven, action-oriented, and compassionate team members working to dramatically transform healthcare for our communities. Together, we're making health care work better for everyone.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

Job Detail

• Company:
  UnitedHealth Group

Job Description

Opportunities at WellMed , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.

Under the direction of providers (defined as an MD, DO, DPM, NP, or PA) or RNs, the LVN/LPN provides clinical support functions and professional nursing care to patients using established standards of clinical nursing care and procedures approved by the applicable state board of nursing. Is an active member of the health care team to assess patients' needs, provide input into the plan of care and implement prescribed interventions.

Primary Responsibilities:

• Performs all nursing duties within the scope of a Licensed Vocational/Practical Nurse (procedures, injections, medication administration, EKGs, phlebotomy) as determined by the applicable State Board of Nursing

• Participates in implementing established education plans for patients and their families with common health problems and well-defined health learning needs

• Coordinates patient care as directed by providers, RNs, and policies, including referrals, transition visits, medications, procedures, and follow-up

• Documents chief complaint and rooms patients according to policy and procedures, prepares patient for examination

• Telephonically obtains information on chief complaint and symptoms and accurately relays information to the provider

• Collects data and performs -focused- nursing assessment of patients; assists in the evaluation of a patient's response to treatment and identifies patient's needs; communicates findings to the provider

• Records patient assessment and care in the medical record in an accurate and timely manner

• Reviews the patient record, chart, reports (including laboratory and x-ray), and other pertinent information for patients prior to being seen by the provider and reports relevant information to the provider and/or RN

• Provides a safe environment (OSHA standards) for patients and staff in the clinic

• Ensures patient confidentiality (HIPAA) at all times and treats patients with courtesy and respect

• Organizes exam and treatment rooms, stocks and cleans rooms and sterilizes instruments

• Practices standard infection control precautions

• Ensures medication management follows policies and procedures; appropriately documents medications & immunizations in patient records

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 or GED

• Current and unrestricted State Vocational/Practical Nursing license

• Current BLS certification

• If required by the clinic, IV certification must be obtained

• Knowledge of medical terminology and medical office procedures

• Proficient computer skills to work efficiently with electronic medical records

• Proven ability to react calmly and effectively in emergency situations

• Proven ability to perform medical procedures, give injections and perform phlebotomy

• Proven ability to establish and maintain effective working relationship with providers/staff, patients, and the community

• Proven effective listening and communication skills; proper use of grammar and spelling

• Proven good communication and customer service skills

• This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

Preferred Qualifications:

• IV certification

• 2+ years of experience in a medical setting

• Knowledge of ICD-10 and CPT coding

Physical & Mental Requirements:

• Ability to stand for extended periods of time

• Ability to properly drive and operate a company vehicle

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: OptumCare 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.

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

Job Detail

• Company:
  UnitedHealth Group

Job Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

The Provider Relations Advocate functions as a subject matter expert in Independent Physician Association (IPA) operations. This position strives to bring consistency and experience in the local market by analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. This position will organize, and assist assigned physician and physician groups and/or financial pools, as well as fellow account managers, in achieving short and long term operational/strategic business goals/ by developing, enhancing, and maintaining operational information and models.

The Provider Relations Advocate will develop and sustain a solid day-to-day relationship with the providers, and office staff to effectively implement business solutions developed by the Optum leadership team. The Provider Relations Manager is accountable for overall performance and profitability for their assigned provider groups and/or financial pools.

Primary Responsibilities:

• Assist in end-to-end provider claims and help enhance call quality

• Coach, provide feedback and guide others

• Assist in efforts to enhance ease of use of physician portal and future services enhancements

• Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers

• Help implement training and development of external providers through education programs

• Identify gaps in network composition and services to assist network contracting and development teams

In this role, you'll be part of a performance driven, fast paced organization that is serving multiple markets. You'll have frequent interactions with senior management and physicians as you communicate about ways to evolve ongoing processes and programs.

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 or equivalent experience

• 5+ years of health care/managed care experience

• 3+ years of provider relations and/or provider network experience

• 1+ years of experience with Medicare and Medicaid regulations

• Proficiency with MS Word, Excel, PowerPoint and Access

• Intermediate level of proficiency in claims processing and issue resolution

Preferred Qualifications:

• Experience with physician contracting

• Bilingual in English and Spanish

California Residents Only : The salary range for this role is $70,200 to $137,800 annually. 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 401k 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

Job Detail

• Company:
  UnitedHealth Group

Job Description

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, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Optum Financial is modernizing the insurance industry by digitizing complex claims payment processes, allowing people to access their funds faster than ever before. Here, we will leverage your talents along with our technology and financial expertise to streamline claims processes across health and dental plans, auto and property insurance, worker's compensation claims, and third - party administrators. Our great products need great people like you. We invite you to take your career to the next level with our teams that work every day to improve the lives of others.

As part of our award - winning Support Center team, you will play a significant part in advising external clients, increasing program compliance, and maintaining clients' trust in our services. You will support products such as electronic payment processing, mobile - expedited payments, and same - day claim payments. Individuals in this role should have a passion for providing an outstanding customer service experience.

The purpose of this role is in providing payments to Providers (doctors, dentists, billing companies) from insurance companies who partner with us to send payments on their behalf.

The calls we receive are from the providers who may need assistance processing a payment, changing their payment method, or requesting documentation regarding a payment. We encourage providers to use electronic forms of payment instead of checks. When a provider wants checks, we educate them on the benefits of electronic forms of payment.

We place importance on quality over quantity on the calls. We want to be sure you are taking your time with the goal of providing the best customer service the caller has experienced with any company they have interacted with.

Once you are fully trained, you can expect to take about 45 - 60 calls per day. You'll be assigned to a team with a Team Lead and Manager, with the entire management team being there to help and support you.

Success in the role is defined by metrics including QA, customer satisfaction scores, adherence to schedule, and attendance.

This position is full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 AM - 7:00 PM CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of paid remote training. The hours during training will be 8:00 AM - 5:00 PM CST from Monday - Friday. Performance metrics are based on attendance, customer satisfaction scores, quality, and your schedule adherence.

If you are located within the Central Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Answer 45 - 60 incoming phone calls per day from Providers (doctors, dentists, billing companies) and identify the type of assistance the customer needs Perform research functions including making outbound calls to validate provider contact information.

• Perform retention efforts and share benefits of our various product lines with callers.

• Identify and resolve customer issues.

• Follow up on customer inquiries.

• Research billing and payment issues

• Update database records as needed.

• Participate in special projects, as needed, which includes outbound calling campaigns.

• Support usage of payee portal questions.

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 OR equivalent work experience

• Must be 18 years of age OR older

• Experience with using computers and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications

• Experience with Microsoft Office programs such as Microsoft Word, Microsoft Excel, and Microsoft Outlook

• Experience with working in a fast - paced, high - volume call center environment

• Ability to work any of our full-time (40 hours / week), 8-hour shift schedules during our normal business hours of 7:00 AM - 7:00 PM CST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• 1+ years of call center, contact center, OR support center experience

• Customer service experience in a healthcare OR insurance setting

• Understanding of HIPAA regulations

Telecommuting Requirements:

• Reside within the Central Time Zone

• 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:

• Demonstrated ability to listen skillfully, collect relevant information, building rapport, and respond to customers in a compassionate manner

• Proficient conflict management skills to resolve issues in a stressful situation

• Excellent communication skills including active listening skills

• Comfortable with working in a structured and fast - paced environment

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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 .

#RPO

Job Detail

• Company:
  UnitedHealth Group

Job Description

CARE Counseling, part of the Optum family of businesses is seeking a Part Time 1099 Therapist to join our team in Nashville, Knoxville, Chattanooga and Memphis, TN. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone.

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

*1099 Contracts Available!

• Manage a caseload of a minimum of 10 participants in treatment

• Required: 10 hours per week within the hours of 9a-8pm local time. The 10 hours may be completed during the week or on weekends. Candidate can choose the set schedule that works for them, but it needs to be consistent once chosen. (no flexibility once set)

• $40-$60 per session hour (dependent on state of residence)

Primary Responsibilities:

• Deliver remote care throughout an 8-week evidence-based program

• Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes

• Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms

• Identify and respond to high-risk participant encounters with elevated safety concerns, following company protocols

• Participate in regularly scheduled meetings with supervisors, monthly team meetings, and Town Halls

• Maintain the highest standards of confidentiality as described in HIPAA Privacy & Security policies, and ensure compliance with annual training requirements

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:

• One or more of the following:

• Current Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC)/Licensed Mental Health Counselors (LMHC) (or state equivalent)

• Ability to maintain a consistent schedule for patients 10+ hours/week

Preferred Qualifications:

• Clinical experience conducting psychotherapy utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and other solution-focused approaches

• Interest in obtaining licensure in other states

• Proven passionate about impacting lives and the future of behavioral care

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

Job Detail

• Company:
  UnitedHealth Group

Job Description

$5,000 Sign on Bonus for External Candidates

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8-8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important. We provide a broad scope of services including urgent care, basic wellness and prevention, and employer health services. As part of the Optum and UnitedHealth Group family of businesses, we're working together to help people live healthier lives and to help the health system work better for everyone. You can become part of our elite team almost anywhere with 250 MedExpress centers across the country and two administrative offices in Morgantown, WV and Pittsburgh, PA. Join us to start Caring. Connecting. Growing together.

The Licensed Practical Nurse (LPN) is responsible for ensuring the well-being of patients and for providing a positive, supportive environment while working in conjunction with physicians, advanced practice clinicians, front office and clinical staff. The successful LPN will have sound clinical acumen, strong communication skills and a dedication to customer service and patient care.

This role is center-based and requires working in a clinical setting. The noise level is moderate and there is a potential for exposure to infectious diseases and blood-borne pathogens. It requires the ability to stand and sit for hours at a time (with some bending and stooping), ability to use manual dexterity in relation to clinical requirements, and ability to lift 50 lbs. Hours may vary based on location, patient volume, and business needs.

Our teams utilize a collaborative working model to build connections across our centers and communities. The primary center for this position is PITTSBURGH, PA, though you may also operate in other local work sites on an as needed basis.

Primary Responsibilities:

• Complete provider orders per state and provider regulations

• Assists the provider with examinations, procedures, and other duties

• Screening and accurate detailed clinical intake of patients and updating medical records

• Able to prepare and administer all prescribed medications including, but not limited to, IV medications and fluid administration, IM, SQ, PO, and intradermal medication administration at the direction of the medical provider (per applicable State regulations and MedExpress guidelines)

• Oversee and coordinate the daily patient care flow

• Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc.

• Complete occupational health testing including such services as urine drug screens, breath alcohol testing, hair testing and physicals

• Complete patient referrals and patient callbacks daily

• Other duties as assigned such as new models of care and new types of procedures, etc.

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:

• Graduate of an accredited school for Licensed Practical or Vocational Nursing

• Current state LPN licensure and BLS/CPR certification

• Maintain CEU/CMEs as applicable for licensure

• 1+ years of direct patient care experience

Preferred Qualifications:

• Current IV Certification or must be willing to obtain within 90 days if required by state

• Experience in Urgent Care, Emergency Room or Critical Care setting

• Experience with venipuncture and lab specimen collections

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: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Detail

• Company:
  UnitedHealth Group

Job Description

AbleTo, part of the Optum family of businesses is seeking a Remote Part Time 1099 Therapist OH to join our team in Cleveland, OH. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone.

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

You're a compassionate therapist who shares in our ambitious mission to transform behavioral health care. You want to make a difference and spend more time with patients than with paperwork. You appreciate a collaborative environment with a support system of coaches and clinical supervisors. You want to help participants focus on actionable skills and build healthy, life-long habits through structured, evidence-based protocols.

*1099 Contracts Available!

• Manage a caseload of a minimum of 10 participants in treatment

• Required: 10 hours per week within the hours of 9a-8pm local time. The 10 hours may be completed during the week or on weekends. Candidate can choose the set schedule that works for them, but it needs to be consistent once chosen. (no flexibility once set)

• $40-$60 per session hour (dependent on state of residence)

Primary Responsibilities:

• Deliver remote care throughout an 8-week evidence-based program

• Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes

• Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms

• Identify and respond to high-risk participant encounters with elevated safety concerns, following company protocols

• Participate in regularly scheduled meetings with supervisors, monthly team meetings, and Town Halls

• Maintain the highest standards of confidentiality as described in HIPAA Privacy & Security policies, and ensure compliance with annual training requirements

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:

• One or more of the following:

• Current Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC)/Licensed Mental Health Counselors (LMHC) (or state equivalent)

• Current Licensed Marriage and Family Therapist (LMFT)- for California only

• Ability to maintain a consistent schedule for patients 10+ hours/week

Preferred Qualifications:

• Interest in obtaining licensure in other states

• Clinical experience conducting psychotherapy utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and other solution-focused approaches

• Proven passionate about impacting lives and the future of behavioral care

_Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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._

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

Job Detail

• Company:
  UnitedHealth Group

Job Description

AbleTo, part of the Optum family of businesses is seeking a Remote Part Time 1099 Therapist OH to join our team in Cleveland, OH. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone.

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

You're a compassionate therapist who shares in our ambitious mission to transform behavioral health care. You want to make a difference and spend more time with patients than with paperwork. You appreciate a collaborative environment with a support system of coaches and clinical supervisors. You want to help participants focus on actionable skills and build healthy, life-long habits through structured, evidence-based protocols.

*1099 Contracts Available!

• Manage a caseload of a minimum of 10 participants in treatment

• Required: 10 hours per week within the hours of 9a-8pm local time. The 10 hours may be completed during the week or on weekends. Candidate can choose the set schedule that works for them, but it needs to be consistent once chosen. (no flexibility once set)

• $40-$60 per session hour (dependent on state of residence)

Primary Responsibilities:

• Deliver remote care throughout an 8-week evidence-based program

• Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes

• Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms

• Identify and respond to high-risk participant encounters with elevated safety concerns, following company protocols

• Participate in regularly scheduled meetings with supervisors, monthly team meetings, and Town Halls

• Maintain the highest standards of confidentiality as described in HIPAA Privacy & Security policies, and ensure compliance with annual training requirements

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:

• One or more of the following:

• Current Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC)/Licensed Mental Health Counselors (LMHC) (or state equivalent)

• Current Licensed Marriage and Family Therapist (LMFT)- for California only

• Ability to maintain a consistent schedule for patients 10+ hours/week

Preferred Qualifications:

• Interest in obtaining licensure in other states

• Clinical experience conducting psychotherapy utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and other solution-focused approaches

• Proven passionate about impacting lives and the future of behavioral care

_Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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._

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

Job Detail

• Company:
  UnitedHealth Group

Job Description

CARE Counseling, part of the Optum family of businesses is seeking a Part Time 1099 Therapist to join our team in Houston, Dallas, San Antonio, El Paso, Amarillo, Lubbock and Austin, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone.

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

*1099 Contracts Available!

• Manage a caseload of a minimum of 10 participants in treatment

• Required: 10 hours per week within the hours of 9a-8pm local time. The 10 hours may be completed during the week or on weekends. Candidate can choose the set schedule that works for them, but it needs to be consistent once chosen. (no flexibility once set)

• $40-$60 per session hour (dependent on state of residence)

Primary Responsibilities:

• Deliver remote care throughout an 8-week evidence-based program

• Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes

• Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms

• Identify and respond to high-risk participant encounters with elevated safety concerns, following company protocols

• Participate in regularly scheduled meetings with supervisors, monthly team meetings, and Town Halls

• Maintain the highest standards of confidentiality as described in HIPAA Privacy & Security policies, and ensure compliance with annual training requirements

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:

• One or more of the following:

• Current Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC)/Licensed Mental Health Counselors (LMHC) (or state equivalent)

• Ability to maintain a consistent schedule for patients 10+ hours/week

Preferred Qualifications:

• Clinical experience conducting psychotherapy utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and other solution-focused approaches

• Interest in obtaining licensure in other states

• Proven passionate about impacting lives and the future of behavioral care

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

Job Detail

• Company:
  UnitedHealth Group

Job Description

AbleTo, part of the Optum family of businesses is seeking a Licensed Therapist to join our team in North Carolina. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone.

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

You're a compassionate therapist who shares in our ambitious mission to transform behavioral health care. You want to make a difference and spend more time with patients than with paperwork. You appreciate a collaborative environment with a support system of coaches and clinical supervisors. You want to help participants focus on actionable skills and build healthy, life-long habits through structured, evidence-based protocols.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. but you must be licensed in North Carolina.

*1099 Contracts Available!

• Manage a caseload of a minimum of 10 participants in treatment

• Required: 10 hours per week within the hours of 9a-8pm local time. The 10 hours may be completed during the week or on weekends. Candidate can choose the set schedule that works for them, but it needs to be consistent once chosen.

• $40-$60 per session hour (dependent on state of residence)

Primary Responsibilities:

• Deliver remote care throughout an 8-week evidence-based program

• Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes

• Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms

• Identify and respond to high-risk participant encounters with elevated safety concerns, following company protocols

• Participate in regularly scheduled meetings with supervisors, monthly team meetings, and Town Halls

• Maintain the highest standards of confidentiality as described in HIPAA Privacy & Security policies, and ensure compliance with annual training requirements

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:

• One or more of the following active, unrestricted, North Carolina licenses:

• Licensed Clinical Social Worker (LCSW)

• Licensed Professional Counselor (LPC)

• Licensed Mental Health Counselors (LCMHC) or state equivalent

• Ability to maintain a consistent schedule for patients 10+ hrs/week

Preferred Qualifications:

• Clinical experience conducting psychotherapy utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and other solution-focused approaches

• Interest in obtaining licensure in other states

• Proven passion about impacting lives and the future of behavioral care

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only : The hourly range for this role is $28.03 to $54.95 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 401k 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.

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 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.

Job Detail

• Company:
  UnitedHealth Group

Job Description

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, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Sales Liaison, RN is responsible for patient education and sales in a hospital setting. This Clinical Sales Liaison, RN will work directly with case managers and discharge planners to process home infusion referrals within the hospital systems. This position requires sales training as directed by Regional Sales Director.

Primary Responsibilities:

• Provide clinical education and manage marketing services to hospital and physician referral sources to ensure awareness of Optum Specialty Pharmacy Infusion Services programs and services

• Assess and coordinate, in partnership with Case Managers and Discharge Planners, home infusion services to assist with determining the plan of care administered by Optum Specialty Pharmacy Infusion Services under the direction of the patient's physician

• Provide patient and caregiver training on therapy, monitoring, and side effects; demonstrate procedure for administering therapy in the home, with a return demonstration from the patient/caregiver

• Maintain and grow facility customer relationships and provide responsive customer service with assigned accounts; evaluate current and future clinical and service needs for existing and new accounts

• Conduct in-services and continuing education programs for referral sources and/or their support staff; partner with Regional Sales Director on presentations to current and potential accounts

• Meet or Exceed quarterly revenue and referral goals

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:

• Current, unrestricted RN license in the state of practice

• 2+ years of IV related clinical experience

• 2+ years of experience working with laptops and/or tablets - including the ability to type and talk at the same time and toggle between multiple applications

• Proven effective communication and teaching skills with patients, family members, and other staff members

• Able to work in field up to 5 days a week for bedside patient teaches at local Ocala hospitals

Preferred Qualifications:

• 2+ years of home healthcare experience

• 2+ years of Hospital/DME/Home Care or Case Management related experience

• 1+ years of hospital liaison experience

• 1+ years of sales and customer service experience

• Knowledge of the Infusion Nursing standards (INS) and nursing process

• Proven ability to work autonomously, managing own workload and seeking out opportunities to expand service opportunities

If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.

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.

Job Detail

• Company:
  UnitedHealth Group

Job Description

$1000 Sign on Bonus for External Candidates

Excellent benefits within 30 days, annual bonus potential, PTO, paid holidays, 401K , tuition reimbursement and more!

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, Crystal Run Healthcare, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey, and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.

The role of the Medical Assistant is to provide care to patients/significant others via direct and/or telephone contact, following established standards and practices. S/he coordinates with other members of the care team to ensure seamless care delivery, maximal coordination of efforts, and active patient participation in planning and care. Assists physician or other provider with clinical procedures.

Primary Responsibilities:

• Demonstrates clinical competence in the direct care of patients in established area(s) of practice, and assisting MDs with procedures

• Performs clinical duties within scope of practice complying with the accepted CareMount Medical and/or individual department standards, policies, and protocols

• Demonstrates a proactive approach to patient care, focusing on addressing each patient's individual and family needs at the time of service; communicates identified needs in a timely manner

• Directs and/or escorts patients to exam rooms in a timely manner

• Demonstrated clinical competence when assisting physician/mid-level healthcare professional and/or nurse during exams and office diagnostic procedures/treatments

• Performs authorized procedures competently (i.e. vital signs, vision screening, selected laboratory tests) as directed by physician or nurse in clinical practice area

• Seeks validation/guidance from physicians, mid-level healthcare professional and/or nurse when necessary

• Prepares e-prescriptions for processing to pharmacies when instructed to do so by physician per CareMount Medical policy

• Inspects, cleans/prepares and processes instruments/equipment according to manufacturers' or CareMount Medical guidelines

• Processes specimens for transport to laboratory, ensuring that specimens are properly labeled and appropriate orders have been placed in NextGen

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 :

• Current Nationally Recognized Medical Assistant Certification (from one of the following agencies: NAHP, NCCT, AAMA, AMT, NHA) or the ability to obtain within 1 year of employment (Training and examination is provided in-house)

• 1+ years of clinical experience in a medical office, clinic or hospital setting

Preferred Qualifications:

• Graduate of an accredited medical assistant program with 1+ years of recent experience as a medical assistant

• Current CPR / BLS certification

New York Residents Onl y: The hourly range for this role is $16.00 to $23.94 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 401k 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 employers 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.

Job Detail

• Company:
  UnitedHealth Group

Job Description

$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

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, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Responsible for providing patient-oriented service in a clinical or front office setting; performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting, and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment.

This position is part-time, approximately 20+ hours a week. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours at Westmoreland Hospital or variable shifts at the ED, which is open 24 hours a day, 7 days a week. It may be necessary, given the business need, to work occasional overtime. Our office is located at 532 W Pittsburgh Street, Greensburg, PA 15601.

We offer 3-4 weeks of paid training. Training consists of 20 -buddy shifts- as well as a training program with a training team on the computer that is about one weeklong. The hours of the training will be based on the schedule of the person you will be shadowing.

Primary Responsibilities:

• Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits

• Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information

• Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements

• Verifies insurance coverage, benefits and creates price estimates, reverifications as needed

• Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations

• Identifies outstanding balances from patient's previous visits and attempts to collect any amount due

• Responsible for collecting data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge

• Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner

• Generates, reviews and analyzes patient data reports and follows up on issues and inconsistencies as necessary

• Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• 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: http://uhg.hr/uhgbenefits

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 (or higher)

• 1+ years of customer service experience in a hospital, office setting, customer service setting, or phone support role

• Ability to work part-time, at least 20 hours a week, including the flexibility to work occasional overtime given the business need. Flexibility to work any shift as needed

Preferred Qualifications:

• Experience with Microsoft Office products

• Experience in a Hospital Patient Registration Department, Physician office or any medical setting

• Working knowledge of medical terminology

• Understanding of insurance policies and procedures

• Experience in insurance reimbursement and financial verification

• Ability to perform basic mathematics for financial payments

• Experience in requesting and processing financial payments

Soft Skills:

• Strong interpersonal, communication and customer service skills

Physical and Work Environment:

• Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset

*PLEASE NOTE The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.*

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.

#RPO #RED

Job Detail

• Company:
  UnitedHealth Group

Job Description

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, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Patient Services Representative is responsible for checking in, scheduling appointments, answering billing questions, and managing patient medical records for a clinic. Roles may vary based on the size of the clinic(s).

Location: 1728 W Marine View Dr. Suite 106, Everett, WA 98201; Role will become hybrid after training period

Schedule: Monday - Friday; 8am-5pm PST

If you live near Everett, WA, you'll enjoy the flexibility of a hybrid remote role* as you take on some tough challenges.

Primary Responsibilities:

• Applies knowledge/skills to activities that often vary from day to day

• Demonstrates a moderate level of knowledge and skills in own function

• Requires little assistance with standard and non-standard requests

• Solves routine problems on own

• Works with supervisor to solve more complex problems

• Prioritizes and organizes own work to meet agreed upon deadlines

• Works with others as part of a team

• Assist physicians, as required in coordination of care for patients

• Works collaboratively with Centralized Services to support patient needs

• Establish and maintain relationships with service providers for patient's coordination of care

• Ensures work is being performed according to company policies, procedures, and standards

• Provides high quality care and service excellence to our patients

• Performs other administrative and clerical duties as assigned

• Participates in a variety of department initiatives

• Ensures all OSHA, HIPAA, and other regulations are followed

• Follows proper reporting protocols for any compliance or incident reporting as needed

• Maintains strict patient and employee confidentiality

• Other duties and responsibilities, not specifically described, maybe defined, or assigned from time to time, consistent with knowledge, skills and abilities of the incumbent by management

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• 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: http://uhg.hr/uhgbenefits

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 (or higher)

• 1+ year(s) of medical front desk experience

• 1+ year(s) of Microsoft Office experience

Preferred Qualifications:

• Experience with data analysis software

• 1+ years of customer service experience

• 1+ years of electronic medical record experience

• 1+ years of health plan insurance knowledge

• Previous experience with appointment scheduling within a medical office or call center type role

• UCB/ACD Desktop phone system experience

• Previous experience with EMR systems, prefer EPIC

• A basic knowledge of medical terminology

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Washington Residents Only: The hourly range for Washington residents is $16.54 to $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 401k 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.

#RPO #YELLOW

Job Detail

• Company:
  UnitedHealth Group

Job Description

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, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:00am - 6:00pm, Tuesday - Saturday. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 4 - 5 weeks of paid on-the-job training. The hours during training will be 8:00 AM - 5:00 PM from Monday - Friday for the first 2 weeks and Tuesday - Saturday for the rest of the training. Training will be conducted onsite.

If you are located within commutable distance of our office location at 7600 EVERGREEN WAY Everett, WA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

- Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)

- Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller

- Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff

- Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends

This role is equally challenging and rewarding. You'll interact with providers with the intent to develop a relationship with them. Within a high-volume setting, you'll need to develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers.

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

• Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications

• Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner

• Skilled in problem solving to quickly assess current state and formulate recommendations

• Must be able to work onsite if having internet issues

• Ability to work any of our 8-hour shift schedules during our normal business hours of 9:00am - 6:00pm, Tuesday - Saturday. It may be necessary, given the business need, to work occasional overtime or weekends

Preferred Qualifications:

• 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools

• Prior health care experience

Telecommuting Requirements:

• Reside within 30 miles of Everett, WA

• 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

Washington Residents Only: The hourly range for this is $16.00 - $28.27 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 401k 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 .

#RPO

Job Detail

• Company:
  UnitedHealth Group

Job Description

Optum NM is seeking a Registered Nurse to join our team in Albuquerque, NM. 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.

Responsible and accountable for the practice of Professional Nursing to include patient care. May serve in the role of Charge Nurse and is accountable for professional practice. Adheres to policies, procedures and regulations to ensure compliance and patient safety. Participation in Compliance and other important training is a condition of employment.

Position Highlights & Primary Responsibilities:

• Manage patient care process by ensuring a comprehensive patient assessment and plan of care is completed and documented on all patients within the time frame of the established policy

• Manages Cardiology Patient Portal for providers and front desk

• Medication Refill, Prescription Denials Appeals, & overdue orders

• Manage staff members relative to clinical and patient care issues, assesses and triages the needs of patients, and directs to the appropriate care resource

• Starts IV, Administers medications, monitors patient vitals signs

• Establishes collaborative relationships with members of the healthcare team and facilitates the generation of ideas for improvement of patient care and functioning of the unit

• Adheres to regulatory and organization policies and procedures to ensure compliance and patient safety

• Participates and attends departmental meetings and professional development activities

• Participates and assumes responsibility for clinical quality facilitates clinic surveys and maintains or assigns records

• Responsible for completing basic RN competencies in addition to departmental specific competencies

• Other duties as assigned

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:

• Associate's Degree or Diploma of Nursing

• Valid NM RN License or valid multi-state compact license or eligible for licensure by examination

• Current BLS Certification

• Ability to maintain strict patient confidentiality

• Management skills; solid organization and problem solving skills; works well in a team setting; communicates effectively both orally and in writing

Preferred Qualifications:

• Bachelor's Degree in Nursing

• 1+ years of experience

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

Job Detail

• Company:
  UnitedHealth Group