Patient Care Coordinator

** Requisition number:
** 2385763

** Job category:
** Medical & Clinical Operations

_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._

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 inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start  
** Caring. Connecting. Growing together.*
* In this role, the candidate would serve as a key support resource for the Care Management team by coordinating member outreach, conducting transition of care follow-up calls, and assisting with the intake, triage, and assignment of care management referrals. The candidate would work closely with members, providers, hospitals, and clinical staff to facilitate communication, manage inbound and outbound calls, process service requests, and ensure accurate documentation within care management systems.

Additionally, the candidate would monitor and distribute work queues, help identify members who may benefit from care management services, maintain records and databases, support reporting and data validation efforts, and participate in team meetings and interdisciplinary care conferences to promote effective care coordination and timely member support.

This position is full time, Tuesday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30 am - 5:00 pm PST or MWT. It may be necessary, given the business need, to work occasional overtime.

*
* Primary Responsibilities:

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* + Positions in this function include those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing outbound and incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff with ability to enter appropriate information within the clinical documentation system.

+ Performs telephonic outreach to members daily and conduct follow-up calls as part of the transitions of care (TOC) program.

+ Coordinates and performs a range of activities supporting clinical teams telephonically, in an office, telecommute location or clinical setting.

+ Serves as a liaison with both internal and external customers on behalf of the Care Management team in the resolution of day-to-day administrative and operational problems.

+ Responsible for managing care management system task pools and distributing tasks to care management teams to ensure a timely response.

+ Reviews, triages, and assigns inbound care management referrals from internal and external sources

+ Reviews member lists and assists in identification of medically complex members based on eligibility criteria for referral to care management staff.

+ Supports data collection validation of internal and outbound reports.

+ Electronic file protocol oversite establishes, maintains, and updates files, databases, records, and/or other documents as directed

+ Participate in team meetings, multi-disciplinary meetings, care conferences, and other collaboration via appropriate communication methods (teleconference and video conference)

You'll be rewarded and…