Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The
Care Advocate role will engage and develop relationships with our members. This role focuses on proactive, best practices, consultation and improvement of quality care for members and / or their caregivers throughout the healthcare continuum. The primary responsibility for member support includes the initial engagement, coordination with our providers, connecting member with various care teams, educating member on pending/current hospitalizations, supporting member through next site of care as well as a 30-day discharge from a facility. As a Care Advocate, you will act as a resource and advocate for members and their caregivers to ensure an optimal member experience. This position is also responsible for coordination and communication to members, physicians and other care management teams serving as a liaison with external departments to ensure consistent member care. Includes but not limited to managing outgoing /incoming calls, scheduling provider appointments, providing information on available services, managing referral process and transferring members as appropriate to clinical staff.
This position is full time. Flex schedule—8 to 5 M-F or it can be a 4 10 hour shifts—must be 40 hours a week. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of paid On the job training. The hours during training will be 8am to 5pm CST, Monday - Friday. Training will be conducted virtually from your home.
If you are located in the state of Texas, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities
- Establishes a trusting relationship with identified members, caregivers, clinic staff and physicians (may be completed face-to-face or virtual with member)
- Proactively engages the member to coordinate their care needs
- Keeps member actively engaged with their primary care physician and assists member with any scheduling medical appointments/transportation; clinical issues or concerns will be directed to a nurse/clinical professional
- Partners with the member’s care team (community, providers, internal staff); serving as a liaison between member and/or caregiver and all health services / processes
- Connects members who need guidance and assistance with any specific barriers to healthcare identified through telephonic outreach with an appropriate care team to assist in solving the member’s needs
- Conduct Social Determinants of Health assessments to identify member needs and connect member with an appropriate care team to assist
- Plans, prioritizes, organizes and completes work to meet established objectives
- Review care history documentation (e.g., case notes); includes navigation between computer screens and platforms to research information (e.g., medical, clinical, or benefits information)
- Serves as primary point of contact for internal and external stakeholders
- Conducts in-bound and out-bound calls including, but not limited to: member touch-points, clinical staff coordination, member scheduling, and/or surveys/screenings
- Enters timely and accurate data into the electronic medical record to communicate member needs and ensure complete documentation of member visits and phone calls
- Periodically may visit members/patients in facility or next site of care, requiring ability to travel reliably to and from location
- Performs all other related duties 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
- Must be 18 years of age or older
- 4+ years of experience in customer service support and/or engagement
- Excellent verbal and written skills
- Ability to interact productively with individuals and with multidisciplinary teams
- Excellent organizational and prioritization skills
- Proficient computer skills, including Microsoft Word, Excel, Access and Outlook
- Ability to reliably travel locally where/when necessary
- Ability to work full time. Flex schedule—8 to 5 M-F or it can be a 4 10 hour shifts—must be 40 hours a week. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications
- Health care experience
- Bilingual fluency in English and Spanish language
- Knowledge of medical terminology
- Basic understanding of Medicare and Medicaid health plans
- Experience working with Medicare and Medicaid populations
- Ability to comprehend and retain detailed information
Telecommuting Requirements
- Reside within the state of Texas
- 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
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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.
#RPO
