Clinical Administrative Coordinator| San Diego, California

Clinical Administrative Coordinator (CAC)

Optum Behavioral Solutions, in partnership with the County of San Diego, is seeking a dedicated and detail-oriented Clinical Administrative Coordinator (CAC) to join our Utilization Management team. This role is essential in supporting day-to-day administrative operations and ensuring seamless coordination between providers, internal departments, and external stakeholders.

As a CAC, you will play a key role in delivering exceptional customer service, managing provider communications, and maintaining accurate documentation. You'll collaborate closely with clinical and administrative teams to support the delivery of high-quality behavioral health services.

This position begins with in-office training and offers the opportunity to transition to a hybrid schedule-up to three days per week remote-based on business needs (subject to change).

This position is full time, Monday
- Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:30 am - 6:00 pm PST. Initial onboarding and training will follow a temporary schedule of 8:30 am - 5:00 pm PST per business need there may be the need to be on-site up to 5 days per week.

It may be necessary, given the business need, to work occasional overtime.

We offer 4 - 8 weeks of paid training. The hours during training will be 8:30 am - 5:00 pm PST, Monday
- Friday. Training will be conducted onsite.

Primary Responsibilities:

• Process and track a wide range of authorization requests, ensuring accuracy and adherence to established turnaround times
• Distribute clinical documentation and work products to licensed clinicians for timely review and decision-making
• Serve as a backup resource for other Clinical Administrative Coordinator functions, providing flexible support based on team needs and availability
• Sort and manage incoming communications, including e-faxes, physical mail, and scanned documents, ensuring they are routed appropriately and processed efficiently
• Purge outdated documents and maintain organized, compliant records in accordance with retention policies
• Perform facsimile, photocopying, and general administrative support tasks as directed by team leaders, supervisors, or managers
• Accurately direct visitors and incoming calls to the appropriate departments or staff members, and take clear, detailed messages when necessary
• Actively pursue professional development through Optum's Common Language of Leadership framework to continuously enhance your skills and performance
• Crosstrain in Clinical Administrative Coordination and Utilization Management processes to support a collaborative and agile team environment
• Adapt to process updates and implement changes promptly to maintain compliance, efficiency, and service quality
• Perform other duties as assigned by Clinical Managers or Clinical Administrative Manager, contributing to a high-performing, mission-driven team

Required Qualifications:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience in customer service OR healthcare administration
• 1+ years of data entry experience in a clerical OR administrative role
• Proficiency in Microsoft Word, Microsoft Excel, Microsoft Adobe, and general PC navigation
• Experience handling confidential patient information
• Ability to obtain and maintain access to San Diego County's EHR systems and Designated Databases
• Reside in the state of CA and be willing to work in the San Diego office
• Ability to work full time, Monday
  - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:30 am - 6:00 pm PST. Initial onboarding and training will follow a temporary schedule of 8:30 am - 5:00 pm per business need there may be the need to be on-site up to 5 days per week. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• Experience in a healthcare setting (hospital, clinic, insurance)
• Familiarity with ICD-10, CPT codes, Medicare / Medicaid
• Call center experience
• Working knowledge of medical terminology

Telecommuting Requirements:

• Re…