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Clinical Care Coordinator - Boulder, CO

Company: UnitedHealth Group Inc.
Location: Boulder
Posted on: June 10, 2021

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.SM

The Primary Care Physician Clinics are guided by the philosophy of the Patient-Centered Medical Home. The medical home organizes care around patients, while engaging a multidisciplinary care team working proactively to coordinate and track care for each individual patient. As a member of the care team, the Clinical Care Coordinator will support coordinated care, with an emphasis on prevention, acute care, and chronic disease management for patient populations, including those patients who are most vulnerable.

This position is (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 40-hours during our normal business hours of (7:00am - 6:00pm). Our address is located at 4141 Arapahoe Avenue Boulder, CO.

Primary Responsibilities:

* Act as a resource person in collaboration with physician practices to meet organizational quality and efficiency goals * Work with population health outreach, patient registries, and electronic health record to support utilization and quality performance * Frequent interaction with local specialist offices or other entities to coordinate care and ensure patient follow up * Directly engage patients to through mailings, phone calls or other methods ensure screening and other required preventative tests and appointments are completed * Support process improvement to enhance physician and staff workflow * Collaborate with RN Care Managers to address patient needs, progress and barriers to patient care * Run and edit daily and ad hoc reports using EHR and database programs * Provide Emergency Room follow up calls per protocol * Provide resource referrals for patients requesting assistance with social determinants of health such as food & meals, housing, home safety, vision & hearing loss, health literacy, and transportation * Maintain and update shared documents and resources for care team * Periodically reach out to community resource contacts to refresh patient materials and services directory * Manage preventative care and chronic disease registries per protocol, including assisting with closing gaps in care reports * Quality data validation as needed * Reinforce care plans under provider or RN care manager's guidance or documented protocols * Schedule patients for services necessary to meet disease management guidelines including follow-up from other levels of care * Participate in disease management clinics, such as diabetes management. Duties may include: * Documentation of patient participation and results in medical record * After training, operation of equipment such as retinal camera * Tracking and routing from patients' participation

* Communicate with the patient's provider, therapist, specialists, and other treatment providers to maintain continuity of care, and take immediate action to problem-solve whenever necessary * Participate in quality improvement processes * Assist in the ongoing evaluation of PCMH and revision of policies and procedures, as well as in the development of new ones as needed * Adhere to best practices and evidence-based guidelines to provide patient-centric care * Maintain knowledge of financial considerations and limitations of customers' financial circumstances and insurance requirements * Acknowledge billing issues with patient and route to appropriate person * Perform effectively in stressful and/or emergency situations * Function as physician clinic liaison, providing consultation/problem-solving between programs, medical staff, community professionals, and outside agencies * Serve on committees as assigned * Attend regional education meetings as required for clinic or practice certifications * Adhere to standard precautions as appropriate, which may include: * The use of protective barriers, as appropriate (e.g., gloves, masks, gowns, pocket masks, and/or safety glasses) * Handling and disposing of infectious waste appropriately * Hand washing as appropriate

* Maintains competency testing as required by direct supervisors

When applicable, employees must be able to adjust the essential functions they perform appropriately to the age of their patient/customer.

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) * 1+ years of telephonic customer service experience or in-person customer service experience, handling moderate to complex transactions * 1+ years of healthcare experience, including familiarity with medical terminology * Basic computer experience using a keyboard and mouse and toggling between screens * Basic knowledge of Microsoft Excel (create, edit and save spreadsheets * Ability to work any of our 40-hours during our normal business hours of (7:00am - 6:00pm). * You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role * If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

* Associate's or Bachelor's degree in health-related field * Experience working in a physician, provider, and/or medical office * Experience working in a community or government services organization or nonprofit * Knowledge of electronic medical record systems or practice management systems

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.SM

Colorado Residents Only: The hourly range for Colorado residents is $15.00 to $25.19 (add additional reference for sales and physicians). Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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.

Keywords: patient services, scheduling, insurance eligibility verification, Medicare, charge posting, hiring immediately, #rpo

Keywords: UnitedHealth Group Inc., Boulder , Clinical Care Coordinator - Boulder, CO, Other , Boulder, Colorado

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