Clinical Administrative Coordinator

This position is Remote in Eastern, Central, OR Mountain Time Zone. You will have the flexibility to work remotely
* as you take on some tough challenges.

Optum Home & Community Care is creating something new in health care. We are uniting industry - leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

As a team member of our Care Transition product, you'll help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life - changing work helps give older adults more days at home.

We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

The Clinical Administrative Coordinator serves as the main point of contact for healthcare providers and members that are receiving post-acute services. In addition, the Clinical Admin Coordinator role serves as administrative (non-clinical) support for the remote clinical services team. This role is responsible for providing direct support to the multi-disciplinary team to anticipate and plan for continuum of care and discharge needs and communication with providers and clients.

The Clinical Admin Coordinator is responsible for processing inbound and outbound communication (i.e., telephonic, fax, electronic notifications and letters), maintaining accuracy of database documentation and the completeness of the medical record and Home & Community Care documentation system.

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 10:30am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 2 weeks of paid training. The hours during training will be 8:00am to 4:30pm CST, Monday
- Friday. Training will be conducted virtually from your home.

• Manage inbound and/or outbound telephone communication in a professional manner and according to productivity and quality standards.
• Process inbound and/or outbound electronic data and communication (i.e., faxes, emails, and electronic communication) according to productivity and quality standards.
• Enter, review and/or verify member information in the Home & Community Care documentation system and communicate approved pertinent information with healthcare providers and/or Home & Community Care team as needed.
• Enter and/or update any required data into the Home & Community Care documentation system accurately and in a timely manner.
• Complete administrative documentation for member records including but not limited to disenrollment, transitioning, creating/updating authorization, attaching documents (i.e., medical records), and logging therapy information.
• Assist in a smooth coordination of members care between health providers and the health plan.
• Establish relationships and communicate, when appropriate, to providers, clients and/or Home & Community Care field/care management staff as defined by departmental policy and process.
• Triage inbound calls/emails, manage provider/member inquiries/requests, and resolve or elevate to appropriate Home& Community Care team or health plan personnel.
• Run and/or review any reports to monitor/complete responsibilities as outlined in departmental processes.
• Act as a preceptor and mentor to new colleagues during the initial training period.
• Serve as the first line of peer support for operational and procedural questions and/or concerns.
• Follow chain of command when provider/member issues or concerns are reported.
• Functional team queue reviews to determine reallocation of resources and review for extended tag times as assigned by supervisor.
• Assist with reviews of task assignments, SLA/TAT and volume updates (to provide coverage for Clinical Admin Coordinator Sr.).
• Create and maintain training materials.
• Conduct quality audits where applicable (this may not apply to all functional areas)
• Conduct…