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 Care Team Associate - San Antonio, TX - SAN ANTONIO, Texas, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Administrative - Other
Health - Clinical/Medical Assistant
Customer service & support
 
Travel: Minimal 
Accept candidates: from anywhere 
Languages: English - Fluent
Spanish - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 729529 / Latpro-3569458 
Date posted: Sep-12-2017
State, Zip: Texas, 78201

Description

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)   The Care Team Associate (CTA) will effectively support the successful implementation and execution of all Care Coordination programs and processes. The Care Team Associate will provide support to the care coordination nursing staff and managers to ensure applicable program processes and operational responsibilities are met; to include UM processes with PHC Medical Directors, physicians, hospitals, and any other necessary Health Plan or MSO external departments. This position is responsible for the daily coordination of all Interdisciplinary Team Conference (IDTC) processes and weekly Patient Care Committee (PCC) Meetings. CTA conducts complex initial intake screening for pre-service requests, and inpatient hospital coordination. This position will serve as a liaison with external departments to ensure optimal customer service.   Primary Responsibilities: Receives and responds to escalated Care Coordination inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e-mail box or fax Coordinates and assists initial screening of complex case screening and UM requests via all communication venues; as well as administrative preparation for clinical staff Conducts in-bound and out - bound calls for program requirements including, but not limited to: patient scheduling, surveys / screenings, reminder calls, census management and distribution of materials to appropriate clinical personnel or patients Performs daily Inpatient Census reconciliation to include monitoring of UM concurrent in-patient cases in "pend" status to ensure adherence to CMS regulations Participates in market Patient Care Committees: prepares agenda and minutes Assembles and mails various educational materials, supplies, and medical equipment to patients and clinical staff based on need and direction from nursing personnel Schedules and coordinates patient transportation, follow - up physician appointments in all applicable markets, as needed Completes effective data entry of in - bound and / or out - bound call contact information into software applications (Claims Database, DM database, and EMR, CWQI, etc.) Utilizes various reports to track patient referrals or no - shows for scheduling visits with clinical staff Completes calls / assignments and ensures census management, productivity weekly and monthly standards are met Provides clerical and / or administrative support to clinical staff and managers for special studies, projects and reports Provides excellent customer service by serving as a resource to all internal and external customers Attends required meetings and participates in special committees as needed forms other duties as assigned Coordinates all aspects of IDTC from data mining and reporting by market, scheduling, notification to members, preparing agenda and recording of minutes Maintains knowledge of all health plan benefits, network, CMS, regulations, health plan and / or MSO policies Maintains collating, gathering and logs for Notice of Medicare Non-Coverage (NOMNC) Non - Clinical staff are not responsible for conducting any UM review activities that require interpretation of clinical information Performs all other duties as assigned                        


Requirements

Required Qualifications:

High School Diploma or GED required

Two years of administrative support experience

Basic knowledge of Microsoft Office products, including Word and Outlook

Must be able to work independently, with some supervision and direction from manager

Possesses medical terminology knowledge base

Must possess and demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers

Must maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times

Must maintain strict confidentiality at all times to include but limited to patients and coworkers

Must comply with all organizational policies regarding ethical business practices

Must adhere to all department policies and procedures 
 Preferred Qualifications:

Certified Medical Assistant training or certification preferred

Two or more years of experience in a physician's clinic or hospital preferred

Additional years of experience working in a medical care setting as a receptionist or medical assistant Bilingual language proficiency (English/Spanish)
 Physical Requirements:

Ability to lift up to 25 pounds
Ability to push or pull heavy objects using up to 25 pounds of force
Ability to use fine motor skills to operate office equipment and/or machinery
Ability to receive and comprehend instructions verbally and/or in writing
Ability to use logical reasoning for simple and complex problem solving
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.SM
  
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Care Team Associate, San Antonio, TX, Texas
 

 

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