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RN Clinical Admin Coordinator - Telecommute in Tennessee

UnitedHealth Group


Location:
Brentwood, TN
Date:
01/19/2018
2018-01-192018-02-17
Job Code:
742801
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Job Details

742801 RN Clinical Admin Coordinator Telecommute in Tennessee

RN Clinical Admin Coordinator - Telecommute in Tennessee (742801)

Position Description

Talk about meaningful work. Talk about an important role. Let's talk about your next career move.  Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers.  You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases.  Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work. (sm)  

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

Primary Responsibilities:

  • Manage administrative intake of members or the admission / discharge information post notification
  • Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and / or providers
  • Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
  • Receive care coordination notification cases for non-clinical assessment / intervention and provide appropriate triage
  • Review requests for adverse determination, approval notification and processing notification requirements
  • Assist the clinical staff with setting up documents / triage

Required Qualifications:

  • Active, Unrestricted RN license in the state of TN
  • 2+ years of customer service experience analyzing and solving customer problems
  • Must be able to create, edit, save and send documents utilizing Microsoft Word and Excel
  • Must be able to navigate a PC to open applications, send emails, and conduct data entry
  • Knowledge of the long term care Tennessee Choices Program
  • High Speed DSL cable internet in the home

Preferred Qualifications:

  • Experience working within the Healthcare Industry
  • Experience working with Healthcare Insurance
  • Experience working in a Hospital, Physician's Office, or Medical Clinical setting
  • Professional experience in a clerical or administrative support related role
  • Working Knowledge of Medical Terminology to communicate with members and providers
  • Experience working with ICD-9 and CPT codes
  • Experience working with Medicare and / or Medicaid Services
  • Experience working in a call center environment

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)


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

 


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


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

 

Job Keywords: Tennessee Choices, TN,  RN, Quality reviewer, benefits, contracts, telecommute, telecommuting, telecommuter, work from home, remote

Job Details

  • Contest Number742801
  • Job TitleRN Clinical Admin Coordinator - Telecommute in Tennessee
  • Job FamilyNursing
  • Business SegmentUHC Clinical Services

Job Location Information

  • Brentwood, TN
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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