Company Detail

Sr Director of Call Center Channels - Remote - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Torrance, CA

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.

This full-time telephony role will support Optum Health West and determine strategy critical to execution of call center self-service telephony channels to keep phone calls from dropping, establish Interactive Voice Response(IVR) self-service strategy along with call routing governance.

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

Primary Responsibilities:

  • Establishing a solid self-service IVR, call routing strategy and leading the call centers to stabilized operations for all of West including the "One Number" strategy

  • Enabling integrated Care Delivery Organizations (CDOs) to transition their existing contact centers, shared service support capabilities and voice requirements onto the centralized integrated ecosystem and standardized menus

  • Standardize the handling, routing and flow of customer calls in an accelerated timeframe

  • Driving direct cost reduction via increased efficiencies and improved overall quality of the services across all service channels

  • Supporting scalability for continued growth

  • Decreased time to answer performance and 6% fewer dropped patient calls due to telephony issues

  • Develops strategic, patient driven roadmaps with clear outcomes

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 5+ years of experience leading a contact center

  • Project Management experience

  • Experience in a large, fast-paced customer service operation, preferably in a consumer service industry

  • Experience with implementation and change management

  • Advanced understanding of call centers and agent processes

  • Understanding of telephony, call routing and IVR menu best practices

  • Proficient in Microsoft Office Suite

  • Strategic, expert communicator and analytical thinker, and ability to negotiate and resolve conflict

  • Proven ability to influence Senior Leaders while gaining consensus decisions

  • Proven ability to leverage computerized systems and to develop and maintain Key Performance Indicators (KPIs) to measure and improve team performance

Preferred Qualifications:

  • Experience using any of the following systems: CXOne, EMRs, IEX, Salesforce

  • Experience within the healthcare industry

  • Experience managing direct reports

*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 $147,300 to $282,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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

LVN Case Manager, Out of Area - Remote - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Torrance, CA

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.

Position in this function is responsible for utilizing the appropriate resources while working closely with physicians, specialists, care managers, and facility nurses or representative to coordinate patient's transition to contracted facility or next level of care within the parameters of established contracts and patient's health plan benefits. Performs job functions telephonically or at on-site office as the need arises. Reports findings to the department management team in a timely manner.

If you reside in California with a valid LVN nursing license, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer

  • Coordinates ED repatriations, safe transfers, and discharge instructions as directed and approved by the regional hospitalists and/or on-call hospitalists; or as tasked by regional inpatient teams

  • Delegates provisions for discharge including follow-up appointments, home health, social services, transportation to care coordinators to ensure appropriate and timely movement of patients through the various levels of care

  • Diligent in obtaining additional clinical information or overcoming lack of transportation from hospital to home in order to prevent delay in discharge or transfer

  • Consistently and accurately completes documentation for any post stabilization requests, MD to MD determination and level of care decision

  • Approves medically appropriate referrals within required regulatory timeframes in order to facilitate safe discharges or transfers

  • Ensures appropriate utilization of medical facilities and services within the parameters of the patients' benefits

  • Maintains effective communication with the physicians, hospitals, extended care facilities, and when necessary patients and families

  • Demonstrates a thorough understanding of the cost consequences resulting from care management decisions through utilization of Division of Financial Responsibility (DOFR)

  • Communicates authorization or denial of services to appropriate parties and may include patient (or agent), attending / referring physician or facility administration

  • Reviews expedited appeal notifications, prepares and sends appeal packets with requested information to Livanta and health plans within timeframes outlined

  • Writes Detailed Notice of Discharge (DND) and Detailed Explanation of Non-Coverage (DENC) to include in Livanta appeal packets

  • Reviews appeal decisions received from Livanta and health plans, updates referral management system and provides evidence to health plans as requested

  • Refers patient for PDV appointment immediately after discharging/leaving AMA from Emergency department to home

  • Responsible to track team caseloads, completes staffing schedule, and escalates issues to management as needed

  • Seeks and identifies opportunities for process improvement

  • Expected to participate in weekend and holiday coverage rotation per business needs

  • Meets or exceeds productivity targets

  • Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

  • Performs additional 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:

  • Graduation from an accredited Licensed Vocational Nurse program

  • Current, unrestricted California LVN License

  • 1+ years of experience working as an LVN/LPN

  • 1+ years of case management, utilization review or discharge planning experience

Preferred Qualifications :

  • 3+ years of clinical experience working as an LVN/LPN

  • Experience in an HMO or experience in a Managed Care setting

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

California Residents Only : The hourly range for this role is $19.47 to $38.08 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: 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

Developer, Expert - National Remote - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Washington, DC

Job Description

The government services support team at Optum has earned the trust of organizations that our entire country relies on, from the Department of Defense and Veteran's Administration to the teams at Health & Human Services and the Centers for Medicare and Medicaid Services. We're repaying that trust with hard work, new ideas and a commitment to finding better solutions every day. Join us and help create ways for our government services agencies to be more efficient and effective. This will be the next huge step to start Caring. Connecting. Growing together.

We are seeking multiple seasoned Certified Expert Developers with proven experience developing on one or more of the following product platforms (Salesforce, Microsoft Power Platform, Pega or Appian). Candidates must have a robust technical skillset, including expertise in Visualforce, Apex, and integration experience. The successful candidates will have a proven track record of contributing to customer and partner success and will possess both front-end and back-end development skills. This role requires a deep understanding of development and release management strategies, change management, and the ability to design solutions that meet or exceed business requirements. The Platform Developer will be an integral member of our scrum team, effectively managing client expectations and delivering high-quality work.

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

Primary Responsibilities:

  • Develop and maintain scalable and efficient Platform applications using Force.com, Apex, and Visualforce etc.

  • Lead the evaluation of business and technical requirements, ensuring that proposed solutions are optimized using LCNC and they meet client and business goals

  • Review and guide project direction and approach, ensuring alignment with best practices and quality standards

  • Evaluate various options and present solutions to clients and partners, educating them on the benefits and implications

  • Proactively manage risk areas and ensure issues are resolved to the client's satisfaction

  • Provide LCNC solution governance, intake and release support and additional platform management operations

  • Actively contribute to the practice's knowledge base, enhancing technical and non-technical resources within the organization

  • Mentor and educate team members, enriching the technical competency of the team

  • Foster strong relationships with business partners, clients, and internal teams

  • Support the growth and development of the organization's Professional Services team

  • Oversee work of developers.

  • Conduct quality control of software development. Conduct proactive risk identification and mitigation of software development process

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 Skills/Experience:

  • Masters Degree or Bachelor's degree in computer science, information technology, or a related field

  • 8 years of additional relevant experience may be substituted for education

  • 15+ years professional experience

  • Minimum of 2 years of work experience in software development and implementation

  • Proficiency (Certified Developer) in one or more popular low-code/no-code platforms such as Salesforce, Microsoft Power Apps, Pega, or Appian (Required)

  • Experience of leading a team with a minimum of five members

  • Experience in developing and implementing algorithms

  • Must have experience in database design

  • Must have experience in devising possible solutions to predicted problems, evaluating other options; working as part of a team, which may be established purely for a particular project, to write a specific section of the program; combining all elements of the program design and testing it; testing sample datasets to check that output from the program works as intended

  • Deep understanding of application design, development, support, and enhancement lifecycle

  • Strong track record working as a technical lead to perform process analysis, gather business requirements, and develop/configure digital applications

  • Experience working in software development life cycle (Agile) across all phases including design, development, testing, implementation, deployment, maintenance

  • Strong problem-solving skills and the ability to translate business requirements into technical solutions

  • Consultative mindset with the ability to propose solutions and influence decision-making

  • Experience operating in an Agile/Scrum development environment

  • Proficiency in object-oriented design and the application of design patterns

  • Strong communication skills with the ability to articulate complex technical concepts to diverse audiences

Preferred Skills/Experience:

  • Additional certifications, especially cross product certification are highly desirable

  • Experience in Healthcare and Government Verticals

  • Must have reliable internet service that allows for effective telecommuting

  • Must be eligible to work in the United States

  • Must be able to obtain and maintain a suitability or determination of eligibility for a Confidential/Secret or Top Security Clearance

  • All work must be conducted in the United States

  • Must be able to communicate both verbally and in written form

  • Must be able to conduct work and be available in VA communication channels during (EST business hours)

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

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. Residents Only : The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. residents is $104,700 to $190,400 per year. 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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 #Green



Job Detail

Call Center LVN- Remote - UnitedHealth Group
Posted: Sep 27, 2024 05:29
San Jose, CA

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 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's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.

Positions in this function include LPN/LVN roles responsible for providing telephonic clinical assessments utilizing approved medical protocols per policy. Recommends an appropriate level of clinical care based on clinical judgment and protocols.

Work Hours: Monday-Friday: 2 shifts Pacific Time Zone between 8:30 am - 5 pm then 3 shifts Pacific Time 1030am-7pm. Quarterly Saturday shifts 8:30am-5pm Pacific time

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

Primary Responsibilities:

  • Has basic knowledge of theories, practices and procedures in a function or skill

  • Performs routine or structured work

  • Responds to routine or standard requests

  • Uses existing procedures and facts to solve routine problems

  • Outreach and engaging members with programs

  • Complete clinical eligibility assessment

  • Identify health, conditions or social gaps

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 or equivalent experience

  • Multi-State Compact License

  • Outpatient clinical, ICU, ER, PCU, Step down experience

  • Computer proficiency (Microsoft Word, Outlook and internet)

Preferred Qualifications:

  • Call center experience

  • Experience with EMR (Electronic Medical Records)

  • Recent Case Management experience

  • Bilingual - Spanish

*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 $19.47 to $38.08 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

Data Entry Pharmacy Technician - Spokane, WA - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Spokane, WA

Job Description

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

"A Day in the Life" video

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

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

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

Hours: Monday - Friday, 8:30am - 5:30pm or 9am - 6pm

Location: 6 E 1ST AVE SPOKANE, WA 99202

Primary Responsibilities:

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

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

  • Performs various clerical duties relating to the department

  • Communicates with strong professional verbal and written communication skills

  • Other duties as assigned

  • This role is for a data entry pharmacy technician; will be required to answer phones, check out customers, contact insurance companies and type prescriptions

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

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account

  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

  • 401(k) Savings Plan, Employee Stock Purchase Plan

  • Education Reimbursement

  • Employee Discounts

  • Employee Assistance Program

  • Employee Referral Bonus Program

  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

  • More information can be downloaded at: http://uhg.hr/uhgbenefits

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

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

  • PTCB certification OR willing to obtain within 2 years of obtaining Washington Technician license

Preferred Qualifications:

  • Pharmacy experience

  • Customer Service experience

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

Washington Residents Only: The hourly range for Washington residents is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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

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

#RPO, #RED



Job Detail

Disaster Recovery Manager - National Remote - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Washington, DC

Job Description

The government services support team at Optum has earned the trust of organizations that our entire country relies on; from the Department of Defense and Veteran's Administration to the teams at Health & Human Services and the Centers for Medicare and Medicaid Services. We're repaying that trust with hard work, new ideas and a commitment to finding better solutions every day. Join us and help create ways for our government services agencies to be more efficient and effective. This will be the next huge step to start Caring. Connecting. Growing together.

As a Disaster Recovery (DR) Manager at Optum, you will be charged with developing and Implementing processes to recover from a security event that disrupts its technology operations. With our deep knowledge in the field of IT recovery, you will train others and be key in the Development of an IT disaster recovery plan (DRP) that will define the organization objectives. And will help the organization resume operations quickly after a security event.

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

Primary Responsibilities:

  • Create a platform Backup and Restore Plan within 30 days of authorization from Government Director

  • Manage, operate, and maintain disaster recovery solutions, products, tool suites, configurations, and settings assuring platform availability and service continuity of authorized platforms

  • Manage and maintain disaster recovery documentation and version management of each platform

  • Ensure that the Back Up and Restore Plans include standard operating procedures, SLAs, action plans, accountability of ecosystem partners, sequence of events, process dependencies, leadership awareness and escalation procedures

  • Execute simulated disaster recovery exercises annually and provide:

  • Disaster Recovery Annual Simulation Report within five days of simulation

  • Back Up and Restore Plans to include compliance, gaps, and recommended remediations

PRE-DISASTER RESPONSIBILITIES

  • Serve as primary point of contact (POC) for disaster recovery preparedness

  • Coordinate development, training and exercise of jurisdiction disaster recovery plan

  • Establish and maintain contacts and networks for disaster recovery resources and support systems

  • Promulgate principles and practices that further resiliency and sustainability in development and strategic planning initiatives

POST-DISASTER RESPONSIBILITIES

  • Lead the creation and coordinate the activities of local recovery-dedicated and initiatives

  • Work with Leadership to develop a unified and accessible communication strategy

  • Participate in damage and impact assessments with other recovery partners

  • Organize recovery planning pro

  • Communicate recovery priorities to government leadership and other recovery stakeholders and supporters

  • Incorporate critical mitigation, resilience, sustainability and accessibility-building measures into the recovery plans and efforts

  • Lead the development of asset recovery plans that are publicly supported, actionable and feasible based on available funding and capacity

  • Work closely with the recovery leadership at all levels to ensure a well-coordinated

  • Develop and implement recovery progress measures and communicate adjustments and improvements to applicable stakeholders and authorities

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:

  • Bachelor's degree in computer science, engineering management, or other engineering or technical discipline

  • 8+ years of additional relevant experience may be substituted for education

  • 10+ years' experience in disaster system recovery efforts across multiple SaaS PaaS products

  • Must Be PaaS Platform Certified Administrator (Salesforce, Microsoft Power Platform, Appian, or Pega) and Certified in Data / Cloud Storage

  • Experience in creating, implementing, and managing disaster recovery programs

  • Proven ability to create documentation, processes, and procedures related to the position

  • Must have extensive experience in Data Recovery and Penetration Testing

  • Expert in DRP development, training, implementation and maintenance of plan components

  • At least three (3) years of experience leading disaster recovery efforts in the federal government workspace

Preferred Qualifications:

  • Must have reliable internet service that allows for effective telecommuting

  • Must be eligible to work in the United States

  • Must be able to obtain and maintain a stability or determination of eligibility for a Confidential/Secret or Top Secret Security Clearance

  • All work must be conducted in the United States

  • Must be able to communicate both verbally and in written form

  • Must be able to conduct work and be available in VA communication channels during (EST business hours)

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

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C Residents Only : The salary range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C residents is $88,000 to $173,200 per year. 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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 #GREEN



Job Detail

HouseCalls Nurse Practitioners Lee and Des Moines Counties, IA - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Burlington, IA

Job Description

Coverage area includes Des Moines County -- not the city of Des Moines

$10,000 Sign-on Bonus for External Candidates

This is a full time opportunity with benefits

No Nights, Holidays, Call and Weekends are optional

Communities within area of service (not all inclusive): Des Moines County: Burlington, Mediapolis, West Burlington, Danville, Middletown, Sperry, Augusta, Kingston, Beaverdale, Yarmouth. Lee County: Fort Madison, Donnellson, Keokuk, Montrose, West Point, Wever, Argyle, Denmark, Saint Paul, Houghton, Franklin

Optum is seeking a Nurse Practitioner to join our HouseCalls team in Lee and Des Moines Counties, IA . 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 provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.

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.

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

Primary Responsibilities:

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

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

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

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

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

  • Identify urgent and emergent situations and intervene appropriately

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

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

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

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

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

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

  • Reliable transportation to complete home visit assessments

Preferred Qualifications:

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

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

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

  • Home Health care or home visit experience

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

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

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

Remote Licensed Therapist- Part Time Contractor - KS - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Kansas City, KS

Job Description

Opportunities with AbleTo, part of the Optum family of businesses, are focused on improving millions of lives through technology-enabled behavioral health care. Start a rewarding career where your work will bridge the gap between need and treatment. Join us in making care more accessible and affordable through convenient telehealth available in all 50 states. Be part of a team that's driven by the passion we share for helping people get better and stay better. Help us make a meaningful and lasting impact 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. as you take on some tough challenges.

Depending on what state licensures are currently held, applying for additional state licensure may be required.

*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:

  • 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

*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, or Washington Residents Only : The hourly range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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

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



Job Detail

HouseCalls Nurse Practitioners Lee and Des Moines Counties, IA - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Fort Madison, IA

Job Description

Coverage area includes Des Moines County -- not the city of Des Moines

$10,000 Sign-on Bonus for External Candidates

This is a full time opportunity with benefits

No Nights, Holidays, Call and Weekends are optional

Communities within area of service (not all inclusive): Des Moines County: Burlington, Mediapolis, West Burlington, Danville, Middletown, Sperry, Augusta, Kingston, Beaverdale, Yarmouth. Lee County: Fort Madison, Donnellson, Keokuk, Montrose, West Point, Wever, Argyle, Denmark, Saint Paul, Houghton, Franklin

Optum is seeking a Nurse Practitioner to join our HouseCalls team in Lee and Des Moines Counties, IA . 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 provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.

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.

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

Primary Responsibilities:

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

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

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

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

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

  • Identify urgent and emergent situations and intervene appropriately

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

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

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

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

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

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

  • Reliable transportation to complete home visit assessments

Preferred Qualifications:

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

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

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

  • Home Health care or home visit experience

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

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

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

Remote Part Time 1099 Therapist PA - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Pittsburgh, PA

Job Description

AbleTo, part of the Optum family of businesses is seeking a Part Time 1099 Therapist to join our team in Philadelphia, PA. 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)

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

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 independent clinical licenses in the state of Pennsylvania:

  • Current Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC)

  • 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

*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 $58,300 to $114,300 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.

_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

Nurse Practitioner Senior Community Care Baltimore County MD - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Baltimore, MD

Job Description

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

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

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

We're fast becoming the nation's largest employer of Nurse Practitioners; offering a superior professional environment and incredible opportunities to make a difference in the lives of patients. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nurse Practitioners.

The Senior Community Care (SCC) program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in a facility setting. The APC within SCC provides care to our highest-risk health plan members and is part of an interdisciplinary team.

In this role you will have the ability to achieve work life balance. Flexible scheduling offered where providers can flex their time over the 7-day work week. No on-call, no weekends, and no holidays required. Optum is transforming care delivery with innovative and personal care. As one of the largest employers of APCs, Optum offers unparalleled career development opportunities.

Primary Responsibilities:

  • Conduct comprehensive assessments

  • Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions

  • Manage members during a short term sub-acute rehabilitation episode

  • Ensure accurate and complete documentation, including ICD 10 conditions

  • Communicate and collaborate with the interdisciplinary care team

  • Conduct advanced illness and advanced care planning conversations

  • Provide patients and caregivers with counseling and education

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Graduate of an accredited Master of Science Nursing or Doctor of Nursing Practice program

  • Active and unrestricted license in the state which you reside, or ability to obtain by start date

  • Active Nurse Practitioner certification through a national board:

  • Board certified through the American Academy of Nurse Practitioners or the American Nurses Credentialing Center, with certification in one of the following:

  • Family Nurse Practitioner

  • Adult Nurse Practitioner

  • Gerontology Nurse Practitioner

  • Adult-Gerontology Acute Care Nurse Practitioner

  • Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice) (SCC04)

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

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

  • Access to reliable transportation

Preferred Qualifications:

  • 1+ years of clinical experience in practice (long-term care setting preferred)

  • Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs

  • Understanding of Geriatrics and Chronic Illness

  • Understanding of Advanced Illness and end of life discussions

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

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

PRN Pharmacist - Community - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Garden City, KS

Job Description

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

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

We seek a Per Diem Pharmacist to perform professional duties and responsibilities associated with the processing of prescriptions. Per Diem Pharmacists are classified as temporary employees and work on an intermittent basis.

Tour a Genoa Pharmacy at the following link: Genoa Healthcare On-site Pharmacy Tour (youtube.com) (https://www.youtube.com/watch?v=wR5bzhHlT7k)

Hours of Pharmacy: Monday-Friday, 8:00am-5:00pm. Candidates must have some availability during those hours.

Location: Compass Behavioral Health: 1111 E Spruce St, Garden City, KS 67846

Primary Responsibilities:

  • Distributes drugs prescribed by physicians and other health practitioners

  • Provides information to customers about medications and their use

  • Focuses on providing a superior level of customer service

  • Ensures compliance with all relevant laws of the applicable State Board of Pharmacy

  • Administration of immunizations as allowed by State Boards of Pharmacy

  • Any other usual and customary pharmacy duties

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:

  • Bachelor's Degree in Pharmacyor PharmD

  • Current pharmacist license in state of Kansas

  • Certified immunizer or willing to become an immunizer within 3 months of hire

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 27, 2024 05:29
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.

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation, and performance. Join us and start doing your life's best work. SM

As a divvyDOSE Customer Service Representative , you will be able to demonstrate what right looks like as a fully proficient Customer Service Representative. Positively contribute to the overall team motivation and drive team engagement. Support both incoming and outgoing customer and provider calls with excellent customer service.

DivvyDose is a full service pharm that delivers medications to patient homes. The medication is pre-sorted and packaged based off time and patient needs. The goal is to take the guesswork out of their medication. As a Customer Service Rep., you will mainly handle inbound calls, though you will also make some outbound calls when needed. You will be taking calls from both patients and providers and assisting them with adding new medication to orders, addressing concerns or questions related to DivvyDose's services as well as updating provider information for patients. It is critical to be empathetic and ensure positive interactions and establishing connections with patients in this position. Metrics include quality of call observations and avoiding refused calls, among other call center-related goals.

This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday - Friday from 7:00 am - 7:00 pm CST, Saturdays from 7:30 am - 4:30 pm CST. New hires will work on Saturdays. It may be necessary, given the business need, to work occasional overtime and holidays.

We offer 3 weeks of structured training and 1 week of on-the-job training. The hours during training will be between 7:00 am - 7:00 pm CST, Monday - Friday. Training will not take place on Saturdays. 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:

  • Answer 30-45 incoming phone calls per day from customers and identify the type of assistance the customer needs.

  • Ask appropriate questions and demonstrate active listening to identify specific questions or issues, build rapport, respond with compassion while documenting required information in computer systems.

  • Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues.

  • 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 callers.

  • Deliver information and answer questions in a positive manner to facilitate solid relationships with customers, providers, and their staff.

  • Constantly meet established productivity, schedule adherence, and quality standards.

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

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

  • 1+ years of experience in a high-volume call center environment

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

  • Ability to work during our normal business hours, Monday - Friday from 7:00 am - 7:00 pm CST and Saturdays from 7:30 am - 4:30 pm CST including the flexibility to work occasional overtime and holidays based on business need

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:

  • Written and verbal communication skills

  • Flexibility and ability to adjust to changing priorities

*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 $16.00 - $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

Nurse Practitioner Senior Community Care Prince Edward County, VA - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Farmville, VA

Job Description

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

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

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

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

We're fast becoming the nation's largest employer of Nurse Practitioners; offering a superior professional environment and incredible opportunities to make a difference in the lives of patients. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nurse Practitioners.

The Senior Community Care (SCC) program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in a facility setting. The APC within SCC provides care to our highest-risk health plan members and is part of an interdisciplinary team.

In this role you will have the ability to achieve work life balance. Flexible scheduling offered where providers can flex their time over the 7-day work week. No on-call, no weekends, and no holidays required. Optum is transforming care delivery with innovative and personal care. As one of the largest employers of APCs, Optum offers unparalleled career development opportunities.

Primary Responsibilities:

  • Conduct comprehensive assessments

  • Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions

  • Manage members during a short term sub-acute rehabilitation episode

  • Ensure accurate and complete documentation, including ICD 10 conditions

  • Communicate and collaborate with the interdisciplinary care team

  • Conduct advanced illness and advanced care planning conversations

  • Provide patients and caregivers with counseling and education

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Graduate of an accredited Master of Science Nursing or Doctor of Nursing Practice program

  • Active and unrestricted license in the state which you reside, or ability to obtain by start date

  • Active Nurse Practitioner certification through a national board:

  • Board certified through the American Academy of Nurse Practitioners or the American Nurses Credentialing Center, with certification in one of the following:

  • Family Nurse Practitioner

  • Adult Nurse Practitioner

  • Gerontology Nurse Practitioner

  • Adult-Gerontology Acute Care Nurse Practitioner

  • Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice) (SCC04)

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

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

  • Access to reliable transportation

Preferred Qualifications:

  • 1+ years of clinical experience in practice (long-term care setting preferred)

  • Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs

  • Understanding of Geriatrics and Chronic Illness

  • Understanding of Advanced Illness and end of life discussions

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

*PLEASE NOTE* Employees must be in an active regular status. Employees must remain in role for a minimum of 12 months from the date of hire /rehire/transfer. If an employee leaves Home and Community, the student loan repayments will cease. The employee must remain in an Advanced Practice Clinician or Physician role within Home and Community for 36 months to receive the full benefit of the student loan repayments.

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

Clinical Quality Analyst - National Remote - UnitedHealth Group
Posted: Sep 27, 2024 05:29
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 (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 CST. It may be necessary, given the business need, to work occasional overtime.

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

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

Primary Responsibilities:

  • Independently use discretion and judgment to evaluate subjective clinical documentation of member records and call engagements to assess performance of nursing skill.

  • Analyze current clinical quality processes and identify gaps to improve overall effectiveness.

  • Consults with Medical Directors to calibrate on subjective assessments to ensure consistency of feedback related to complex, high risk cases.

  • Assist's Optum employees to stay ahead of changing information while improving the quality and effectiveness of nurse and consumer engagement.

  • The Clinical Quality Analyst will highlight key findings to share with Centralized Auditor Managers.

  • Ensure that process and procedural changes are reflected in staff member's documentation such as job aids and policies.

  • Must stay abreast of all customers specific details, to ensure high quality customer service.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Current, unrestricted RN license

  • Associate Degree in Nursing

  • 3+ years of clinical experience in a hospital, acute care, home health / hospice, direct care or case management

  • Working Knowledge of Medical Benefits

  • Experience with Microsoft Excel (ability to create, edit, copy, save, and send spreadsheets)

  • Microsoft PowerPoint (ability to create, edit, copy, save, and send presentations)

  • Microsoft Word (ability to create, edit, copy, save, and send documents)

  • Microsoft Outlook (ability to create, edit, copy, save, and send correspondence)

  • Ability to work 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 CST. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

  • 2+ years of clinical audit experience

  • Bachelor's Degree

  • Bilingual Fluency in English and Spanish

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

*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 $28.03 - $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 .

#RPO



Job Detail

Senior Customer Service Representative - National Remote - UnitedHealth Group
Posted: Sep 27, 2024 05:29
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.

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 of these 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 (40-hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 11:30am - 8:00pm EST, Monday - Friday. It may be necessary, given the business need, to work occasional overtime.

We offer 6 weeks of on-the-job training. The hours during training will be an 8-hour shift between 9:00am to 5:30pm EST, 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

  • 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 experience in a medical office, health care call-center or office setting 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 weeks between Monday - Friday, 09:00AM - 05:30PM EST

  • Ability to work any of our 8-hour shift schedules during our normal business hours of 11:30am - 8:00pm EST, Monday - Friday. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications

  • Prior health care experience

  • Bi-Lingual English/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 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.

#RPO



Job Detail

Nurse Practitioner Senior Community Care Per Diem Norfolk and Virginia Beach - VA - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Virginia Beach, VA

Job Description

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

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

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

We're fast becoming the nation's largest employer of Nurse Practitioners; offering a superior professional environment and incredible opportunities to make a difference in the lives of patients. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nurse Practitioners.

Serving millions of Medicare and Medicaid patients, Optum is the nation's largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family of businesses. You have found the best place to advance your advanced practice nursing career. As an CCM Nurse Practitioner/ Physician Assistant per diem you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis.

Primary Responsibilities:

  • Primary Care Delivery

  • Deliver cost-effective, quality care to assigned members

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

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

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

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

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

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

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

  • Utilizes practice guidelines and protocols established by CCM

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

  • Travel between care sites mandatory

  • Care Coordination

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

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

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

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

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

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

  • Program Enhancement Expected Behaviors

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

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

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

  • Function independently and responsibly with minimal need for supervision

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

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

  • Participate in CCM quality initiatives

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

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Certified Nurse Practitioner through a national board

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

  • Active and unrestricted license in the state which you reside

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

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

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

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

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

Preferred Qualifications:

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

  • Understanding of Geriatrics and Chronic Illness

  • Understanding of Advanced Illness and end of life discussions

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

  • Ability to develop and maintain positive customer relationships

  • Adaptability to change

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

Radiology Scheduler - Mount Kisco, NY - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Mount Kisco, NY

Job Description

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York, Crystal Run Healthcare 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.

Optum Radiology, part of Optum, has an immediate opening for a friendly, patient focused and detailed oriented Radiology Scheduler to join our team. Radiology Scheduler is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to Lean processes. Supports the teams in meeting financial, clinical and service goals.

Schedule: The hours are Monday through Friday a 40-hour work week to be determined by the supervisor between the hours of 7:00 am to 4:00 pm. Rotating Saturdays between the hours of 8:00 am to 3:00 pm. Schedule will be determined by supervisor upon hire.

Location: 34 South Bedford, First Floor, Mount Kisco, NY 10549

Primary Responsibilities:

  • Obtain accurate and updated patient information, such as name, address, insurance information

  • Perform insurance verification on the date of service

  • Scheduling radiology procedures in an organized and efficient manner

  • Knowledge of medical terminology and radiology procedures and requirements

  • File and maintain medical records

  • Confirms and schedule appointments

  • Answering incoming and outgoing telephone calls promptly and courteously,

  • Perform referral documentation promptly

  • Performs certain follow-up services for patients in a prompt and courteous manner, such as scheduling specialist appointments, scheduling follow-up appointments and obtaining copies lab results or specialist reports

  • Adhere to the standards identified via Sparq regarding Optum Employee Policies

  • Work cohesively with fellow employees to achieve specific team goals

  • Keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements

  • Comfortable working in high pace environment

  • Participate in planning, coordinating, and implementing care in conjunction with the multidisciplinary team in accordance with the Plan of Care

  • Assure the continuity of care through scheduling and tracking systems

  • Provide effective communication to patient / family team members and other health care professionals as evidenced by documentation, case conferences, communication notes, and evaluations

  • Comply with administrative policies to ensure quality of care

  • Demonstrate precision and efficiency in scanning documents and monitoring the fax server, retrieving and / or scanning documents and assigning to the appropriate electronic chart

  • All employees are expected to keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPPA and OSHA requirements

  • Cross-train and help in other locations if needed

  • Performs other duties as assigned

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

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account

  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

  • 401(k) Savings Plan, Employee Stock Purchase Plan

  • Education Reimbursement

  • Employee Discounts

  • Employee Assistance Program

  • Employee Referral Bonus Program

  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

  • More information can be downloaded at: http://uhg.hr/uhgbenefits

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma/GED (or higher)

  • 1+ years of customer service or Healthcare related experience

  • Intermediate of computer proficiency (multi-task through multiple applications including Microsoft Outlook, Excel, and Word)

Preferred Qualifications:

  • Experience working with an electronic health record (EPIC)

  • Knowledge of Radiology

  • Knowledge of Medical terms

  • 1+ years of experience in a call center

  • 1+ years of experience working in medical front office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records

Soft Skills:

  • Ability to work independently and maintain good judgment and accountability

  • Demonstrated ability to work well with health care providers

  • Strong organizational and time management skills

  • Ability to multi-task and prioritize tasks to meet all deadlines

  • Ability to work well under pressure in a fast-paced environment

  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

New York Residents Only: The salary range for New York residents is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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

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

#RPO #RED



Job Detail

Medical Assistant WellMed at New Tampa - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Tampa, FL

Job Description

$2,200 Sign-On Bonus for External Candidates

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.*

Clinic hours: Monday-Friday: 8am-5pm

Location: New Tampa,

Primary Responsibilities:

  • Assist physicians and nursing personnel with injections, EKGs, phlebotomy and other patient care procedures

  • Maintain established quality control standards

  • Record and process patient care documentation quickly and accurately

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

  • Organize, stock and clean exam and treatment rooms and sterilize instruments

  • Maintain quality control standards and required Medical Assistant and CPR certifications

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High school diploma or GED

  • Current, nationally recognized Medical Assistant certification or registration or the ability to obtain the designation within 180 days of employment

  • Current CPR and / or BLS certification or the ability to attain the certification within 30 days of employment

  • Knowledge of medical terminology

  • 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 or related experience in a medical setting

  • ICD-9 / 10 and CPT coding experience

  • Microsoft experience

  • Bilingual (English / Spanish) language proficiency

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 27, 2024 05:29
Tampa, FL

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.

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation, and performance. Join us and start doing your life's best work. SM

As a divvyDOSE Customer Service Representative , you will be able to demonstrate what right looks like as a fully proficient Customer Service Representative. Positively contribute to the overall team motivation and drive team engagement. Support both incoming and outgoing customer and provider calls with excellent customer service.

DivvyDose is a full service pharm that delivers medications to patient homes. The medication is pre-sorted and packaged based off time and patient needs. The goal is to take the guesswork out of their medication. As a Customer Service Rep., you will mainly handle inbound calls, though you will also make some outbound calls when needed. You will be taking calls from both patients and providers and assisting them with adding new medication to orders, addressing concerns or questions related to DivvyDose's services as well as updating provider information for patients. It is critical to be empathetic and ensure positive interactions and establishing connections with patients in this position. Metrics include quality of call observations and avoiding refused calls, among other call center-related goals.

This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday - Friday from 7:00 am - 7:00 pm CST, Saturdays from 7:30 am - 4:30 pm CST. New hires will work on Saturdays. It may be necessary, given the business need, to work occasional overtime and holidays.

We offer 3 weeks of structured training and 1 week of on-the-job training. The hours during training will be between 7:00 am - 7:00 pm CST, Monday - Friday. Training will not take place on Saturdays. 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:

  • Answer 30-45 incoming phone calls per day from customers and identify the type of assistance the customer needs.

  • Ask appropriate questions and demonstrate active listening to identify specific questions or issues, build rapport, respond with compassion while documenting required information in computer systems.

  • Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues.

  • 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 callers.

  • Deliver information and answer questions in a positive manner to facilitate solid relationships with customers, providers, and their staff.

  • Constantly meet established productivity, schedule adherence, and quality standards.

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

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

  • 1+ years of experience in a high-volume call center environment

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

  • Ability to work during our normal business hours, Monday - Friday from 7:00 am - 7:00 pm CST and Saturdays from 7:30 am - 4:30 pm CST including the flexibility to work occasional overtime and holidays based on business need

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:

  • Written and verbal communication skills

  • Flexibility and ability to adjust to changing priorities

*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 $16.00 - $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 27, 2024 05:29
Tampa, FL

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 of these 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 (40-hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 11:30am - 8:00pm EST, Monday - Friday. It may be necessary, given the business need, to work occasional overtime.

We offer 6 weeks of on-the-job training. The hours during training will be an 8-hour shift between 9:00am to 5:30pm EST, 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

  • 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 experience in a medical office, health care call-center or office setting 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 weeks between Monday - Friday, 09:00AM - 05:30PM EST

  • Ability to work any of our 8-hour shift schedules during our normal business hours of 11:30am - 8:00pm EST, Monday - Friday. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications

  • Prior health care experience

  • Bi-Lingual English/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 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.

#RPO



Job Detail

Clinical Quality Analyst - National Remote - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Tampa, FL

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 CST. It may be necessary, given the business need, to work occasional overtime.

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

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

Primary Responsibilities:

  • Independently use discretion and judgment to evaluate subjective clinical documentation of member records and call engagements to assess performance of nursing skill.

  • Analyze current clinical quality processes and identify gaps to improve overall effectiveness.

  • Consults with Medical Directors to calibrate on subjective assessments to ensure consistency of feedback related to complex, high risk cases.

  • Assist's Optum employees to stay ahead of changing information while improving the quality and effectiveness of nurse and consumer engagement.

  • The Clinical Quality Analyst will highlight key findings to share with Centralized Auditor Managers.

  • Ensure that process and procedural changes are reflected in staff member's documentation such as job aids and policies.

  • Must stay abreast of all customers specific details, to ensure high quality customer service.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Current, unrestricted RN license

  • Associate Degree in Nursing

  • 3+ years of clinical experience in a hospital, acute care, home health / hospice, direct care or case management

  • Working Knowledge of Medical Benefits

  • Experience with Microsoft Excel (ability to create, edit, copy, save, and send spreadsheets)

  • Microsoft PowerPoint (ability to create, edit, copy, save, and send presentations)

  • Microsoft Word (ability to create, edit, copy, save, and send documents)

  • Microsoft Outlook (ability to create, edit, copy, save, and send correspondence)

  • Ability to work 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 CST. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

  • 2+ years of clinical audit experience

  • Bachelor's Degree

  • Bilingual Fluency in English and Spanish

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

*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 $28.03 - $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 .

#RPO



Job Detail

Physician, Home & Supportive Care - WellMed - Tampa, Florida - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Tampa, FL

Job Description

WellMed, part of the Optum family of businesses, is seeking a Physician, Home & Supportive Care to join our team in Tampa, FL. Optum is a clinician-led care organization that is changing the way clinicians work and live.

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

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Position Highlights

  • Practice with a multi-disciplinary team of health care providers that may include, but is not limited to, Family Practice and/or Internal Medicine Physicians, Nurse Practitioners and/or Physician Assistants, RN Case Managers, social workers, and clinic staff.

  • Our model is designed to provide a comprehensive, coordinated model of care to a predominantly Medicare-aged population.

  • Primarily manage care in the patient's home; however, care may require an office or other facility setting depending on the needs of the patient.

  • Diagnoses and treats both acute and chronic conditions such as diabetes, hypertension, kidney disease and other chronic medical conditions.

  • The physician will also treat acute conditions such as minor injuries and other acute medical conditions such as infections or exacerbations of chronic diseases.

  • Facilitates patient and family decision making regarding treatment decisions and end of life care and serious illness discussions.

  • Prescribes pharmacological and non-pharmacological interventions.

What makes an OptumCare organization different?

  • Be part of a best-in-class employee experience that enables you to practice at the top of your license

  • We believe that better care for clinicians equates to better care for patients

  • We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations

  • Practice medicine autonomously, with the support, not restrictions, of a sustainable and thriving national health care organization

Compensation/Benefits Highlights:

  • Base Salary plus Quality Incentive with a target of $50,000/yr

  • 401k with match, Executive Savings Plan, Physician Partnership Program, and UHG Employee Stock Purchase Program

  • 160 hours of PTO, 40 hours CME, and clinics are closed for 8 national holidays

  • Comprehensive Benefits from Optum Partner Services

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:

  • Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.)

  • Board certification or eligible in Family Medicine or Internal Medicine

  • Active, unrestricted medical license in Florida

  • Valid DEA license

  • Reliable transportation

Preferred Qualifications:

  • Home health experience

  • Palliative or Hospice experience

  • Bilingual (English/Spanish) proficiency

The OptumCare Story:

At OptumCare, we've found that putting clinicians at the center of care is the best way to improve lives. Our physician-led organization is one of the most dynamic and progressive health care organizations in the world, serving over 14 million people through more than 38,000 aligned physicians and 9,000 advanced practice clinicians. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Learn more about our journey here.

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

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

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



Job Detail

Remote Part Time 1099 Therapist PA - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Allentown, PA

Job Description

AbleTo, part of the Optum family of businesses is seeking a Part Time 1099 Therapist to join our team in Philadelphia, PA. 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)

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

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 independent clinical licenses in the state of Pennsylvania:

  • Current Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC)

  • 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

*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 $58,300 to $114,300 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.

_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

Nurse Practitioner HouseCalls - Bertie, Martin Counties, NC - UnitedHealth Group
Posted: Sep 27, 2024 05:29
Williamston, NC

Job Description

Optum is seeking a Nurse Practitioner to join our HouseCalls team in Bertie, and Martin County, NC. 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 provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.

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.

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

Primary Responsibilities:

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

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

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

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

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

  • Identify urgent and emergent situations and intervene appropriately

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

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

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

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

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

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

  • Reliable transportation to complete home visit assessments

Preferred Qualifications:

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

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

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

  • Home Health care or home visit experience

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

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

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