Clinical Practice Coordinator

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.

serves as a key liaison between patients, emergency departments, and care teams, providing real-time support and coordination throughout the patient care journey. The position is responsible for member outreach, documentation, data entry, appointment scheduling, and ensuring compliance with CMS, NCQA, and Model of Care requirements while delivering exceptional customer service.

A 40-hour work week, an 8 hour shift, Monday through Friday

• Shift one: 8:00 am to 4:30 pm CST
• Shift Two: 8:00 am to 4:30 pm EST
• Shift three: 5:00 pm to 1:30 am PST
• The schedule will be determined by supervisor upon hire.

You’ll enjoy the flexibility to telecommute
* from anywhere within the U.S. as you take on some tough challenges.

• Documents all member interactions in a timely and concise manner that is compliant with documentation requirements for Model of Care, NCQA and Center for Medicare and Medicaid Services (CMS) regulations
• Receives and responds to incoming ADT notifications utilizing the appropriate processes identified during training
• Conducts in-bound and out-bound calls for program requirements including, but not limited to: engaging with identified emergency departments for patient support, monitoring patient ED journey remotely, scoping patients in for program needs, and warm handoffs to Optum APCs for collaborative care planning needs with the ED
• Completes timely data entry of in-bound and/or out-bound call member contact information into software applications
• Provides clerical and/or administrative support to clinical staff and managers for special projects and reporting needs
• Provides excellent customer service by serving as a resource to all internal and external customers
• Schedules appointments as needed in support of RNs completing real time care coordination efforts
• Attends required meetings and participate in adhoc committees as needed
• Identifies opportunities for process improvement in all aspects of member care
• Must maintain strict confidentiality at all times
• Must adhere to all department/organizational policies and procedures
• Performs all other related duties as assigned
• Performs other duties as assigned

• 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.)

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…