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Sr. Patient Care Coordinator - Irvine, CA

UnitedHealth Group


Location:
Irvine, CA
Date:
03/24/2017
Job Code:
1726023
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Job Details


Sr. Patient Care Coordinator - Irvine, CA(Job Number:704646)
Description

We’re Monarch HealthCare, Orange County’s largest association of independent physicians, and a part of Optum and the growing family of UnitedHealth Group companies. We are changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. With the talent, resources and can - do culture of a Fortune 6 company behind us, there’s no telling how far we can go. Join us in creating a better future and you’ll soon find you’re doing your life’s best work.(sm)
 
Positions in this function include those responsible for overall support of the utilization management team and process. Will be responsible to work in concert with nursing in the processing of requests through the authorization system and provide support and direction to UM coordinators.
 
Primary Responsibilities:
  • Demonstrates great depth of knowledge and skills in own function and processing of authorizations and tasks
    Helps to coordinate work of other coordinators to meet turnaround times
  • Enters referral requests into on-line system and approves requests per clinical criteria guidelines for pass-through services under the supervision of Utilization Management Nurses
  • Acts as resource and liaison for Clinical Services Department staff, inter-departmental staff, health plans and provider offices
  • Creates, maintains and processes system reports as required
  • Supports team functions including but not limited to maintaining attendance, assignments, quality assurance of authorization preparation for nurses and support of the retro claims review process
  • Assists in orienting new staff, provides training and coaching of staff when training needs are identified
  • Maintains a professional demeanor at all times and models company core values of integrity, compassion, relationships, innovation and performance
  • Maintains regular and consistent attendance
  • Assists with review of work flow and quality assurance of production including accurate data entry and processing of referrals within established timeframes for routine and urgent requests
  • Provides review and assistance with testing of production in the authorization module
  • Performs other duties as assigned

Job Patient Services
Primary Location US-CA-Irvine
Other Location 
Organization Monarch
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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