Clinical Administrative Coordinator - North Carolina

Summary

UnitedHealthcare is simplifying the health care experience and improving access to quality care for members and communities. The Clinical Administrative Coordinator supports the Transition of Care team in North Carolina's Managed Medicaid program by processing notifications, coordinating communications, documenting member activities, and completing administrative tasks that promote continuity of care.

Responsibilities

• Manage and triage incoming and outgoing health plan communications, including the Case Management phone line, shared email inbox, and fax line
• Respond to members and provider inquiries by routing requests to the appropriate department or team member for resolution
• Accurately document member activities, referrals and interactions in the Community Care case management platform
• Coordinate daily disenrollment notifications and perform administrative activities that support members transitioning into and out of the health plan
• Generate, manage and distribute care management and Transition of Care reports using plan systems and reporting tools
• Manage member intake activities and maintain departmental trackers, databases, and SharePoint sites
• Perform additional duties and special projects assigned

Skills

• High School Diploma/GED
• 1+ years of customer service experience
• 1+ years of experience working in electronic health systems
• Intermediate level of proficiency with Microsoft Office - Excel, Word, PowerPoint, etc. (ability to create, edit, sort, and send correspondences, spreadsheets, and presentations)
• 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
• Ability to work independently and as a team, 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
• Previous experience as an administrative care manager/coordinator in a managed health care environment
• Experience working independently, managing multiple and often competing demands
• Experience working with multi-disciplinary clinical teams
• Experience with collecting and analyzing data and writing reports
• Experience with Medicaid members
• Experience working with diverse populations
• 2+ years of experience working with local and community-based social service organizations

Qualifications

Must Haves

• High School Diploma/GED
• 1+ years of customer service experience
• 1+ years of experience working in electronic health systems
• Intermediate level of proficiency with Microsoft Office - Excel, Word, PowerPoint, etc. (ability to create, edit, sort, and send correspondences, spreadsheets, and presentations)
• 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
• Ability to work independently and as a team, 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

Nice to Haves

• Previous experience as an administrative care manager/coordinator in a managed health care environment
• Experience working independently, managing multiple and often competing demands
• Experience working with multi-disciplinary clinical teams
• Experience with collecting and analyzing data and writing reports
• Experience with Medicaid members
• Experience working with diverse populations
• 2+ years of experience working with local and community-based social service organizations

Benefits

• 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.)
• Telecommute from anywhere in North Carolina
• Performance rewards
• Incentive and recognition programs
• 401k contribution