Clinical Administrative Coordinator

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 an Office-Based 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. 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• Purge outdated documents and maintain organized, compliant records in accordance with retention policies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

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 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
• Ability to work full-time, Monday
  - Friday. Employees are required to have flexibility to work an 8-hour shift schedule 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:

• Reside within commutable distance to the office at Mission Valley/San Diego, CA
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a…