Per Diem Care Management Assistant

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week.

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.

This position is per diem (on call / as needed). Employees are required to have flexibility to work at least three (3) shifts per month during the hours of 7:30 am - 6:00 pm EST. It may be necessary, given the business need, to work occasional overtime which includes rotating holidays and weekend shifts.

We offer 4 weeks of on-the-job training. The hours during training will be 8:00 am - 4:30 pm EST.

Primary Responsibilities:

• Manage the intake of members or the admission/discharge information post notification.
• Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers.
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification, and census roles.
• Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention.
• Handle resolution/inquiries from members and/or providers.
• This is high volume, customer service environment. You'll need to be efficient, productive, and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.

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
• 1+ years of healthcare customer service experience analyzing and solving customer problems
• Experience working with Cerner (Electronic Medical Records)
• Experience working with medical terminology
• Proficiency with Microsoft Word and Excel (ability to create, edit, save, and send documents and spreadsheets)
• Ability to train full-time for the first 4 weeks between Monday - Friday, 08:00 am - 04:30 pm EST
• Ability to work per diem (on call / as needed). Employees are required to have flexibility to work at least three (3) shifts per month during the hours of 7:30 am - 6:00 pm EST. It may be necessary, given the business need, to work occasional overtime which includes rotating holidays and weekend shifts

Preferred Qualifications:

• Experience working within the health care Industry and with health care insurance
• Experience working with Medicare and/or Medicaid Services
• Call center experience
• Clerical or administrative support background

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package,