Company Detail

Remote Licensed Therapist - Part Time Contractor - North Carolina - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Raleigh, NC

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

HD Pharmacy Technician - Moline, IL - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Moline, IL

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 the Front Pharmacy Technician , you will be asked to shadow to demonstrate what right looks like as a fully proficient Technician. Positively contributes to overall team motivation and drives team engagement. As permitted by state regulation, interprets providers' prescriptions and creates order, assesses, inputs and retrieves prescription, medical/lab and reimbursement information from computer system.

Position Location: 4300 44th Ave, Moline, IL 61265

Schedule : Monday - Friday, 7:00 AM - 6:00 PM CST, 40 hours per week

Primary Responsibilities:

  • Prescription requests

  • Entry, billing, and submittal of the customer's order to fulfillment for delivery assist with operations support, training, and process improvements

  • Contribute to updating Standard Operating Procedures (SOPs) and team content

  • Creation/ routing of pharmacy orders through receipt

  • Demonstrate handling both inbound and outbound member/patient calls

  • Prep and scan documents, verify member/patient data submit prescription orders in computer system

  • May contact members/patients/providers to validate data, request payment information and establish priority of order or delivery details

  • Applies knowledge/skills to a range of moderately complex activities

  • Demonstrates great depth of knowledge/skills in own function

  • Acts as a technical resource to others in own function

  • Proactively identifies solutions to non-standard requests

  • Solves moderately complex problems on own

  • Works with team to solve complex problems

  • Plans, prioritizes, organizes, and completes work to meet established objectives

  • Provide an exceptional customer experience with every interaction

  • Provide a holistic approach to case management by completing the following duties for each customer assigned

  • Extensive work experience within own function

  • Work is frequently completed without established procedures

  • Works independently

  • May coordinate others activities

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)

  • Active and unrestricted State NHA CpHT license OR Nationally Certified Pharmacy Technician license via EXCPT OR PTCB without restrictions OR the ability to obtain one of the listed licenses prior to start date

  • 2+ years of experience as a Pharmacy Technician

  • Ability to work in office at 4300 44th Ave, Moline, IL 61265 Monday - Friday between the hours of 7:00 AM - 6:00 PM CST (40 hours per week)

Preferred Qualifications:

  • Patient Experience

  • Call-center or telephonic work

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

NP or PA Landmark Home Visits - Genesee County, MI - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Fenton, MI

Job Description

$40,000 Student Loan Repayment Or $20,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program

Optum Home Base Medical Care

Genesee County, MI

This is a Full-Time Opportunity!

Optum is seeking a NP or PA to join our Home-based Medical Care team in Genesee County, MI. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you'll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

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.

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

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

Remote Part Time 1099 Therapist Ohio - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Cleveland, OH

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

Medical Assistant Receptionist - Urgent Care - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Howard Beach, NY

Job Description

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, 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.

Schedule: : Monday, Wednesday, Friday and Saturday 1:50 - 10:00 PM EST

Primary Responsibilities:

  • Prepares exam rooms by disinfecting, stocking, and verifying appropriate medications are available

  • Greets patients and assist them with signing in and completing paperwork

  • Answers incoming phone calls in a courteous and prompt manner

  • Assists and accompanies patients to exam rooms

  • Interviews patients and records information into the medical record

  • Measures, collects, and records patient vital signs

  • Performs basic lab testing and other approved tests

  • Displays proficient phlebotomy practices

  • Prepares specimens for transportation to the lab

  • Assists in examination and treatment of patients under clinician direction

  • Places follow-up phone calls to patients

  • Performs other duties as required

  • Traveling and providing coverage to neighboring sites as needed

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 Qualification:

  • High school diploma or equivalent

Preferred Qualifications:

  • Certification in Medical Assisting

  • Experience with vital signs and basic lab tests (urinalysis, pregnancy tests, etc.)

  • Epic experience

  • Proven solid computer skills, proficient in Microsoft Office

  • Bilingual (English/Spanish)

New York Residents Only: 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 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

Nurse Practitioner, Home Visits - Parma, Brooklyn Heights, OH - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Cleveland, OH

Job Description

$ 10,000 Sign-on Bonus for External Candidates

Optum is seeking a Nurse Practitioner to join our Home-based Medical Care team in Parma/Brooklyn Heights, OH. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you'll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

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.

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.

Position Highlights & 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 of Physician Assistant accredited program

  • Current NP/PA license

  • Access to reliable transportation required; 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, desired, preferred

  • 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

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

Sr. Payment Integrity Clinical Review Specialist (Remote) - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Eden Prairie, MN

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.

Join Optum Serve as a Senior Payment Integrity Clinical Review Specialist . Optum Serve helps federal agencies and communities across the nation tackle some of the biggest challenges in health care. We help our clients and the communities they serve prevent, prepare for, respond to, and recover from emergencies and long-term public health challenges. Optum Serve's Technology Services business unit focuses on health information technology and how to further federal customers' missions by continually looking for ways to increase efficiency and thereby, lower costs.

With trillions of dollars spent on health care annually, in the United States, the potential for abuse is staggering. Even worse, the lives of millions of patients hang in the balance. As a Senior Payment Integrity Clinical Review Specialist, you will help us target those responsible, minimize losses and protect those most vulnerable. Join Optum Serve's Technology Services team to help protect our nation's most critical federal programs.

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

Primary Responsibilities:

  • Collaborate with a team that is triaging, investigating and medical reviewing instances of health care fraud and/or abusive conduct

  • Conduct provider claim and/or clinical audits (utilizing appropriate personnel) to gather and analyze all necessary information and documents related to the investigation including preparation of written and verbal case summaries with recommendations for further actions

  • Perform clinical review of medical record and claims data for PI cases

  • Perform clinical review of PI cases in which an allegation of Fraud Waste or Abuse has been identified in accordance with all State and Federal mandated regulations/guidelines

  • Assess investigative and medical review findings, and/or other claims data to determine patterns and detect potential fraud, waste and abuse

  • Perform accurate claim decision coverage determinations based on applicable VA coverage policies and payment rules, coding guidelines, Medicare and Medicaid National and Local Coverage Determinations, utilization/practice guidelines, and clinical review judgment

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, unrestricted RN license in state of residence

  • 5+ years of experience in a position processing medical claim, auditing, payment integrity, and/or investigating fraud for both professional and facility claims (health care fraud investigations experience preferred)

  • 3+ years of experience working in a government, legal, law enforcement, investigations, health care managed care, and/or health insurance environment

  • 3+ years of clinical medical/surgical experience

  • 2+ years of experience conducting or managing comprehensive research to identify billing abnormalities, questionable billing practices, irregularities, and fraudulent or abusive billing activity

Preferred Qualifications:

  • Certified Coding Specialist and/or Certified Inpatient Coder

  • Certified Fraud Examiner

  • Experience training and coaching other team members

  • An intermediate level of knowledge with Local, State & Federal laws and regulations pertaining to health insurance (Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, and/or commercial health insurance)

  • Experience with Facets, iDRS, CSP, Macess, or other claims processing systems

  • Experience with data analytics creating analytics

  • Experience with creating job aides

*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: 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

Senior Software Engineer - Remote in Fairfax, VA - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Eden Prairie, MN

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.

If you reside near Fairfax, Virginia, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Exceptional ability to communicate with both technical and non-technical people

  • Be able to interact with business users, I/T and customers to define application requirements

  • Be able to write the code and Review the code of the engineers

  • Involve in critical and complex technical discussions

  • Ability to prioritize and manage work to critical project timelines in a fast-paced environment

  • Detail-oriented and ability to document low to highly complex functional designs and data structures, to support business and operational requirement

  • Candidate should be confident to work independently, handle and guide the team and should be self-motivated

  • The candidate should have good analytical and self-learning skills and desire to learn new technologies

  • Candidate should have worked with microservices environment and should be fully aware of reference architectures

  • A great attitude and the passion and persistence to solve complex problems

  • Hands on working to support PATH Reporting and MDM environment

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:

  • Bachelors Degree in Computer Science (or higher)

  • 3+ years of experience in the software engineering profession across entire SDLC

  • 3+ years of experience in support and maintenance of informatica master data management (Informatica MDM)

  • 3+ years of experience in support and maintenance of informatica power center ETL tool

  • 3+ years of experience with Informatica PowerCenter, Designer, and Repositories tools

  • 3+ years of hands-on experience in IBM mainframe applications

  • 3+ years of hands-on experience in Mainframe COBOL Programming along with JCL

  • 3+ years of hands-on experience in Mainframe CICS Programing

  • 3+ years of hands-on experience in MOBIUS Reporting

  • 3+ years of hands-on experience in Cognos Reporting

  • 3+ years of experience delivering software using an Agile / Scrum methodology

*All Telecommuters 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 #GREEN



Job Detail

Director of Finance or FP&A - Eden Prairie, MN or Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Eden Prairie, MN

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 Director of Finance position supporting CPS plays a key role within OptumRx, a fast-paced, high growth, exciting organization.

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

Primary Responsibilities:

  • Finance director for newly acquired CPS business within the Optum Specialty pharmacy portfolio of businesses, focused on the fast growing Outpatient Services business

  • Responsible for all aspects of financial planning, forecasting, budgeting, and reporting for the Outpatient Services business within CPS

  • Lead and develop a team of finance professionals

  • Drive business results in partnership with Outpatient business leaders including driving new business growth and expansion of existing 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:

  • Undergraduate degree in finance or equivalent field

  • 6+ years finance experience

  • Budgeting and forecasting experience

  • Proven executive communication skills

  • Proven solid prioritization skills

  • Proven ability to lead and influence in a fast paced corporate environment

Preferred Qualifications:

  • Health care industry experience including Pharmacy and/or PBM

  • Experience leading or managing teams

  • Knowledge of 340B program

*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 $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 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

NP or PA Landmark Home Visits - Genesee County, MI - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Linden, MI

Job Description

$40,000 Student Loan Repayment Or $20,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program

Optum Home Base Medical Care

Genesee County, MI

This is a Full-Time Opportunity!

Optum is seeking a NP or PA to join our Home-based Medical Care team in Genesee County, MI. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you'll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

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.

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

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

Remote Part Time 1099 Therapist TN - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Nashville, TN

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

NP or PA Landmark Home Visits - Genesee County, MI - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Grand Blanc, MI

Job Description

$40,000 Student Loan Repayment Or $20,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program

Optum Home Base Medical Care

Genesee County, MI

This is a Full-Time Opportunity!

Optum is seeking a NP or PA to join our Home-based Medical Care team in Genesee County, MI. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you'll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

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.

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

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

Remote Part Time 1099 Therapist Texas - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Dallas, TX

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

Customer Service Representative - National Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Phoenix, AZ

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, Monday - Friday. Employees are required to work our normal business hours of 7:00am - 7:00pm CST and Saturdays (on rotation) between 7:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 3 weeks of paid training. The hours during training will be 9:00am to 5:30pm EST. Training will be conducted virtually from your home.

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

Primary Responsibilities:

  • Handle outbound calls to health care providers (i.e. physician offices, clinics) and insurance companies to 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 OR equivalent work experience

  • Ability in using computer and Windows PC applications, which includes strong navigation skills and learning new and complex computer system applications

  • Ability to successfully complete Customer Service training classes, complete all class assessments with a passing score, and demonstrate proficiency of the material

  • Ability to make outbound calls as needed

  • Must be 18 years of age OR older

  • Ability to work Monday-Friday, 7:00am - 7:00pm CST and Saturdays (on rotation) between 7:00am - 5:00pm CST

Preferred Qualifications:

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

  • Previous experience handling incoming and outgoing phone calls

  • Prior pharmacy experience

Telecommuting Requirements:

  • 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, build rapport and respond to customers in a compassionate manner

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

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited tolocal 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.

#RPO



Job Detail

Customer Service Representative (Payment Services Support) - Remote in CST - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Dallas, TX

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

Patient Services Advocate - Phoenix, AZ - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Phoenix, AZ

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 (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 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.

Our office is located at 20414 N 27th Ave, Ste 100, Phoenix, AZ 85027.

We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

Primary Responsibilities:

  • Answers 50-70 calls from patients, resolving moderate to complex issues.

  • Schedule and verify appointments in clinical information system.

  • Verify and update patient demographic and insurance information.

  • Send and receive tasks to Provider offices to assist patient with access to medical care.

  • Receive and process; expedite stat and at-risk referrals.

  • Contact patients to inform of appointment and referral status.

  • Extreme high volume data entry.

  • Process and resolve expedited patient complaints.

  • Review and processing of medication refills.

  • Proactive response to inquiries from patients, Providers, and internal medical personnel.

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 of age OR older

  • 1+ years of experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications

  • 1+ years of experience with electronic medical record systems

  • Ability to work full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends

Preferred Qualifications:

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

  • Prior experience with health care

  • Prior experience with eClinicalWorks EMR System

  • Bilingual fluency in English and Spanish

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

Customer Service Representative - National Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Dallas, TX

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, Monday - Friday. Employees are required to work our normal business hours of 7:00am - 7:00pm CST and Saturdays (on rotation) between 7:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 3 weeks of paid training. The hours during training will be 9:00am to 5:30pm EST. Training will be conducted virtually from your home.

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

Primary Responsibilities:

  • Handle outbound calls to health care providers (i.e. physician offices, clinics) and insurance companies to 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 OR equivalent work experience

  • Ability in using computer and Windows PC applications, which includes strong navigation skills and learning new and complex computer system applications

  • Ability to successfully complete Customer Service training classes, complete all class assessments with a passing score, and demonstrate proficiency of the material

  • Ability to make outbound calls as needed

  • Must be 18 years of age OR older

  • Ability to work Monday-Friday, 7:00am - 7:00pm CST and Saturdays (on rotation) between 7:00am - 5:00pm CST

Preferred Qualifications:

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

  • Previous experience handling incoming and outgoing phone calls

  • Prior pharmacy experience

Telecommuting Requirements:

  • 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, build rapport and respond to customers in a compassionate manner

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

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited tolocal 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.

#RPO



Job Detail

Senior Customer Service Representative - National Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Phoenix, AZ

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.

As a Senior Customer Service Representative , you'll compassionately deliver an exceptional experience to between 50 to 70 callers per day, always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. You'll also provide support to your team members by serving as a resource or subject matter expert. Both are opportunities for you to identify and exceed our customer expectations by committing to and building strong relationships internally and externally. At the end, you'll know you performed with integrity and delivered the best customer service experience making all your customers and team members feel better because they talked to you.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 11:30 AM - 8:00 PM EST. It may be necessary, given the business need, to work occasional overtime.

We offer 6 weeks of paid on-the-job training. The hours of training will be 9:00 AM - 5:30 PM EST from Monday - Friday.

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

Primary Responsibilities:

  • Answer a high volume of calls from patients or their representative, regarding patient bill balances, payment plans, credit card payments, patient pricing, re - billing insurance companies, and general customer concerns

  • Process adjustments, refunds, transfer bills, mail returns and perform manual sales

  • Evaluate and respond to all aspects of written billing inquiries, including but not limited to: billing insurances, and updating invoices

  • Research, troubleshoot, and resolve complex billing issues and customer complaints, taking all steps to resolve and ensure full resolution

  • Maintain tracking log of all escalated patient correspondence, providing status updates to leadership as needed

  • Ability to perform all aspects of billing customer service as needed

  • May be a certified Medical Coder and / or involved in medical coding

  • Thorough navigation of both Quest Billing System and the web

  • Maintain all Compliance and HIPAA regulations at all times

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

  • 2+ years of customer service experience OR 2+ years of experience in a medical office, call - center in healthcare OR office setting in healthcare with analyzing and solving customer problems

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

  • Ability to train for the first six (6) weeks between the hours of 9:00 AM - 5:30 PM EST from Monday - Friday

  • Ability to work any 8-hour shift between the hours of 11:30 AM - 8:00 PM EST from Monday - Friday

Preferred Qualifications:

  • Prior health care experience

  • Bilingual fluency in English and Spanish

  • Medical terminology experience

  • Knowledge of billing / finance and eligibility processes, practices, and concepts

  • Proficient in translating health care - related jargon and complex processes into simple, step - by - step instructions customers can understand and act upon

Telecommuting Requirements:

  • 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, build rapport, and respond to customers in a compassionate manner

  • Proficient conflict management skills including the ability to resolve stressful situations

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited tolocal 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 .

#RPO



Job Detail

Medical Assistant USMD Fort Worth Southwest - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Crowley, LA

Job Description

$1500 Sign on Bonus Available for External Candidates

Incentive Bonus

18 days of PTO & Closed on Major Holidays

MA Certification Fee Reimbursement - 401K Match

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.*

The Medical Assistant (MA) participates in providing patient care at the appropriate skill level. They have a duty to provide a standard of care that meets or exceeds that of a reasonably competent and knowledgeable Medical Assistant. The MA performs duties within their scope of practice delegated by, and under the supervision of, a provider (TX) or physician (FL)

Positions in this function organizes the clinical environment and provides support in patient care situations. Support includes but is not limited to assisting physicians and nursing personnel, including those skills listed under Job Functions below along with various other procedures under the direct supervision and responsibility of a medical provider. The MA assists in identifying patient needs or problems and communicating data to the provider or other members of the clinical team. The MA delivers quality customer service. Ensures policy and procedures are followed including infection control, privacy and confidentiality. Completes mandatory training.

Primary Responsibilities:

  • Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non-intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capillary, performs EKGs. Performs quality control checks on equipment. Prepares and sterilizes medical equipment using the autoclave

  • Rooms patients according to policy and procedures, prepares patient for examination

  • Records patient care documentation in the medical record accurately and in a timely manner

  • Coordinates patient care as directed by physicians, company standards and policies

  • Respects patient confidentiality 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

  • Telephone and in-person screening limited to intake and gathering of information without requiring the exercise of judgment based on clinical knowledge

  • Supports and follows Standard Delegation of Orders (SDO)

  • 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 graduate or GED equivalent

  • Current, nationally recognized Medical Assistant certification or the ability to obtain the certification within 180 days of employment. Medical Assistants who are hired prior to receiving their certification are expected to perform at the same level as a -certified- Medical Assistant

  • Current BLS certification for healthcare providers (written exam and in-person assessment) at time of hire or within 30 days of hire

  • Knowledge of medical terminology

  • Basic computer literacy with intermediate Excel skills

  • Proven ability to react calmly and effectively in emergency situations

  • 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:

  • 1+ years of experience as a Medical Assistant

  • Knowledge of ICD-10 and CPT coding

  • Bilingual

Physical & Mental Requirements:

  • Ability to lift, push or pull >35 lbs. with assistance

  • Ability to stand for extended periods of time

  • Ability to use fine motor skills to operate equipment and/or machinery

  • Ability to receive and comprehend instructions verbally and/or in writing

  • Ability to use logical reasoning for simple and complex problem solving

  • Occasionally requires exposure to communicable diseases or bodily fluids

  • Ability to discriminate shades of color when reading dipstick

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 Keywords: Certified Medical Assistant, CMA, Medical Assistant, MA, Registered Medical Assistant, RMA, Clinic, Primary Care, Adult Medicine, Internal Medicine, Senior



Job Detail

Remote Licensed Therapist - Part Time Contractor - North Carolina - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Charlotte, NC

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

Customer Service Representative - National Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Flint, MI

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, Monday - Friday. Employees are required to work our normal business hours of 7:00am - 7:00pm CST and Saturdays (on rotation) between 7:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 3 weeks of paid training. The hours during training will be 9:00am to 5:30pm EST. Training will be conducted virtually from your home.

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

Primary Responsibilities:

  • Handle outbound calls to health care providers (i.e. physician offices, clinics) and insurance companies to 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 OR equivalent work experience

  • Ability in using computer and Windows PC applications, which includes strong navigation skills and learning new and complex computer system applications

  • Ability to successfully complete Customer Service training classes, complete all class assessments with a passing score, and demonstrate proficiency of the material

  • Ability to make outbound calls as needed

  • Must be 18 years of age OR older

  • Ability to work Monday-Friday, 7:00am - 7:00pm CST and Saturdays (on rotation) between 7:00am - 5:00pm CST

Preferred Qualifications:

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

  • Previous experience handling incoming and outgoing phone calls

  • Prior pharmacy experience

Telecommuting Requirements:

  • 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, build rapport and respond to customers in a compassionate manner

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

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited tolocal 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.

#RPO



Job Detail

Marketing Intern - Minnetonka, MN - Hybrid - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Minnetonka, MN

Job Description

Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together.

During our 10-week internship program, you will gain meaningful work experience and exposure to the nation's leading health care company, while learning what a career at UnitedHealth Group will have in store for you. You will be assigned to a team that aligns with your career aspirations, influence business recommendations to senior leadership teams and partner with a dedicated mentor and manager that will support you as you take on challenges of key importance to the company. You'll be empowered to build relationships, drive innovation across the business, and share in a growth mindset. In addition, you'll have access to trainings and curriculum to provide you with foundational knowledge necessary to truly become a subject matter expert. You will also be invited to experience our Minnesota Headquarters, during an experience garnered toward networking and development. The goal of our internship is to put people first and stay true to our mission - helping people live healthier lives and helping the health system work better for everyone.

This full-time hybrid internship position will be available Summer 2025

The Marketing Internship Program comprises of various tracks within our Enterprise Marketing & Customer Office. Please see below for detail on various opportunities and examples of project work.

Primary Responsibilities:

  • Business Marketing

  • Assist in the development and execution of go-to-market strategies and help create marketing materials to effectively position products

  • Assist in the development and execution of multi-channel marketing campaigns, including coordinating content creation, managing social media, conducting email marketing, and handling digital advertising

  • Support client-specific campaigns - from client engagement, requirements,campaign ideation/ planning, execution, ongoing communications, results measurement, and reporting

  • Consumer Experience & Digital

  • Experience: Create comprehensive journey maps outlining end to end member experiences and business processes. Contribute to delivering more tailored experiences that aligns to a consumer's individual circumstances, such as their income level, race, gender identity, and other social determinants of health

  • Data & Analytics: Document key metrics and their associated monetary values, as well as developing a framework to store and share these metrics. Leverage data to produce ideas for personalizing content and managing the lifecycle of an activity

  • Digital: Conduct in-depth research on the latest trends in artificial intelligence (AI) and its applications within the healthcare industry and beyond for navigation and recall. Perform detailed analytics audit and gap documentation for universal consumer log-in, including user engagement, system performance, and client satisfaction

  • Market Research & Insights

  • Research industry and competitive trends and data to inform product and marketing strategies

  • Conduct secondary research and competitive intelligence analysis

  • Conduct SWOT analysis (strengths, weakness, opportunities and threats) by means of researching industry trends, gathering competitive intelligence, and leveraging internal and external sources to inform go-to-market plans/ strategies

  • Events

  • Support events strategy team on project management, PPT deck development, drafting strategic briefs and other supporting materials, research, 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:

  • Currently enrolled and pursuing a bachelor's degree from an accredited college / university during the duration of the internship. Internships are not intended for graduating seniors

  • Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization (F-1 students with practical training and candidates requiring H-1Bs, TNs, etc. will not be considered)

Preferred Qualifications:

  • Currently pursuing a bachelor's degree in marketing, business or another related field

  • Proficiency in Microsoft office suite including Word, Excel, Outlook and PowerPoint

  • Minimum 3.00 cumulative GPA

UnitedHealth Group is not able to offer visa sponsorship now or in the future for this position

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

Customer Service Representative - National Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Minneapolis, MN

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, Monday - Friday. Employees are required to work our normal business hours of 7:00am - 7:00pm CST and Saturdays (on rotation) between 7:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 3 weeks of paid training. The hours during training will be 9:00am to 5:30pm EST. Training will be conducted virtually from your home.

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

Primary Responsibilities:

  • Handle outbound calls to health care providers (i.e. physician offices, clinics) and insurance companies to 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 OR equivalent work experience

  • Ability in using computer and Windows PC applications, which includes strong navigation skills and learning new and complex computer system applications

  • Ability to successfully complete Customer Service training classes, complete all class assessments with a passing score, and demonstrate proficiency of the material

  • Ability to make outbound calls as needed

  • Must be 18 years of age OR older

  • Ability to work Monday-Friday, 7:00am - 7:00pm CST and Saturdays (on rotation) between 7:00am - 5:00pm CST

Preferred Qualifications:

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

  • Previous experience handling incoming and outgoing phone calls

  • Prior pharmacy experience

Telecommuting Requirements:

  • 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, build rapport and respond to customers in a compassionate manner

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

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited tolocal 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.

#RPO



Job Detail

NP or PA Landmark Home Visits - Genesee County, MI - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Flint, MI

Job Description

$40,000 Student Loan Repayment Or $20,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program

Optum Home Base Medical Care

Genesee County, MI

This is a Full-Time Opportunity!

Optum is seeking a NP or PA to join our Home-based Medical Care team in Genesee County, MI. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you'll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

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.

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

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

Senior Digital Analyst - Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Minnetonka, MN

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:

  • Partner with stakeholders to develop measurement frameworks that align to organization key performance indicators

  • Ensure that measurement solutions adhere to organizational priorities

  • Act as a subject matter expert on best in class digital analytics and optimization, consulting with stakeholders to enable the best possible view to member behaviors

  • Support product teams with ad hoc and recurring reporting, and deep dive analytics to answer key business questions

  • Develop learning and optimization plans collaboratively with data science, web analytics, and business stakeholders

  • Evangelize importance of analytics and optimization across organization while developing solid relationships with the business stakeholders

  • Development of measurable stakeholder goals and measurement plans that tie to business impact and ROI

  • Gain an in-depth knowledge of UHC website architecture, KPI's and customer goals

  • Manage customer expectations appropriately and keep projects on schedule and within scope

  • Lead face-to-face brainstorming session with key stakeholders on the marketing, technical and design sides of a client's business

  • Manage multiple projects, with multiple remote teams, at one time

  • Interact frequently with clients via phone, email, and in-person

  • Provide regular status updates to the leadership and quickly escalate potential issues

  • Monitor trends in web, social, digital and mobile media and exploring new tools, trends and applications that could positively impact our 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 digital analytics experience working with large, distributed teams

  • Demonstrated experience utilizing the Adobe suite of web analytics products, or Google Analytics

  • Demonstrated experience in managing the analytics lifecycle, including testing methodologies

  • Experience with MS Office tools (Excel, Word, PowerPoint)

Preferred Qualification:

  • Experience working with global teams

*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