Job was saved successfully.
Job was removed from Saved Jobs.

Job Details

UnitedHealth Group

Clinical Administrative Coordinator - Telecommute in North Carolina (107352214)

Clerical and Administrative

Administrative Assistant



Charlotte, North Carolina, United States

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

For those who want to invent the future of health care, here is your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. The Clinical Administrative Coordinator supports the Care Management team with administrative and non-clinical duties essential for the successful delivery of a high-quality care management program. The Clinical Administrative Coordinator works collaboratively with Care Managers, provider agencies, social service programs, state Medicaid representatives, and other departments within UnitedHealthcare.

This position operates remotely and will require limited travel.

If you are located in North Carolina, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Assigns and reassigns members to appropriate Care Manager under the direction of the Care Management Supervisor
  • Monitors member list routinely to assure accurate assignment of all members
  • Tracks Nursing Facility and Inpatient census data via the Blended Census Reporting Tool (BCRT)
  • Communicates member Inpatient status to the assigned Care Manager
  • Updates Member demographic and placement changes in CM system
  • Assists with administrative/enrollment activities for special programs e.g., disease management, complex case management, behavioral health referrals
  • Manages incoming communication calls/fax/email/tasking group- members/providers
  • Assists with outgoing communication (calls/fax/email)
  • Arrange member appointments w/ Care Manager
  • Coordinate transportation for members
  • Follow-up to ensure service utilization, meeting/not meeting needs
  • Distribute service plans/plan of care, other communication to members/providers
  • Review service utilization from Electronic Visit Verification (EVV) system, identify potential concerns and communicate with the Care Manager
  • Assists with facilitating resolution for pharmacy issues
  • Completes eligibility related activities- enrollment, disenrollment, tracking Nursing Facility census, etc.
  • Posts member related documents to electronic filing system (shared drive/SharePoint)
  • Documents all member related activities in Helios/Virtual Health
  • Reminds members of the need to complete Medicaid paperwork to maintain eligibility
  • Utilizes plan software to generate care management reports
  • Performs other duties/projects 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:

  • High School Diploma / GED or higher
  • 2+ years of experience working directly with community members, health care providers, and coordinating services related to physical healthcare, behavioral healthcare, pharmacy and/or social determinants of health
  • 2+ years of experience working in electronic health systems
  • Solid knowledge of local and community-based social service organizations
  • Proficiency in MS Office – Word, Excel, and PowerPoint (ability to create, edit, sort, and send correspondences, spreadsheets, and presentations)
  • Ability to travel up to 5-10% of the time locally
  • Ability to work Monday - Friday, 8-hour shifts during core business hours of 8AM – 5PM
  • Reside in North Carolina
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifcations:

  • Bachelor’s Degree in Social Services with 3+ years case management experience (preference includes Medicaid experience, physical, or behavioral health care coordination
  • 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 working with diverse populations
  • Excellent written and verbal communication skills
  • Reside in Raleigh, NC or Greensboro, NC   

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to 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.