Care Coordinator

2 weeks ago

Ruskin, United States Optum Full time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

Positions in this function includes those responsible for initial referral request of members and working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. 

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 8am - 5pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at Ruskin, FL. 

We offer 2 weeks of training. Training hours/schedule 8:00 AM to 5:00 PM EST.

 

Primary Responsibilities:

  • Manage administrative intake of members
  • Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
  • Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
  • Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
  • Handle resolution/inquiries from members and/or providers
  • Moderate work experience within own function.
  • Some work is completed without established procedures.
  • Basic tasks are completed without review by others.
  • Supervision/guidance is required for higher level tasks.

 

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
  • Must be 18 years or older
  • 2+ years of customer service experience
  • 1+ years experience working within the health care Industry and with health care insurance
  • Experience with Microsoft Word, Excel and Outlook
  • Knowledge of ICD-9 and CPT codes
  • Ability to travel up to 10% of the time
  • 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 8am - 5pm. It may be necessary, given the business need, to work occasional overtime. 

 

Preferred Qualifications:

  • Experience working in a hospital, physician‘s office or medical clinic setting
  • Clerical or administrative support background
  • Experience working in a call center

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

 

 

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.

 

#RPO #RED

  • Patient Care Coordinator

    1 day ago

    Ruskin, Florida, United States Suncoast Community Health Centers Inc. Full time

    Job Title: Patient Care CoordinatorEstimated Salary: $50,000 - $70,000 per yearAbout the Role:This is a fantastic opportunity to join our team as a Patient Care Coordinator at Suncoast Community Health Centers Inc.The ideal candidate will have a strong focus on patient care and excellent organizational skills.Key Responsibilities:Coordinate patient care by...

  • Senior Patient Care Coordinator

    2 weeks ago

    Ruskin, United States 9I1odaPkCwJEZT Full time

    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 diversity and inclusion,...

  • Senior Patient Care Coordinator

    2 weeks ago

    RUSKIN, United States Optum Full time

    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 diversity and inclusion,...

  • Nursing Professional Wanted for Pediatric Care

    2 weeks ago

    Ruskin, Florida, United States Home Care Now Full time

    We are seeking a compassionate and skilled LPN to provide exceptional care to a female patient in Ruskin. As a member of our team, you will have the opportunity to develop long-lasting relationships with your patients and their families.Job DescriptionPatient Care SpecialistWe offer competitive compensation and benefits to our employees. Our estimated salary...

  • Compassionate LPN Required for Pediatric Care in Ruskin, FL

    3 weeks ago

    Ruskin, Florida, United States Home Care Now Full time

    We are seeking a skilled and compassionate Licensed Practical Nurse (LPN) to provide high-quality care to our patients in Ruskin, Florida.Job SummaryThis is a 12-hour day shift position available on Friday, Saturday, and Sunday. As an LPN with Home Care Now, you will have the opportunity to work one-on-one with patients, developing long-lasting relationships...

  • Care Coordinator

    2 months ago

    Ruskin, United States UnitedHealth Group Full time

    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 diversity and inclusion,...

  • Healthcare Operations Coordinator

    3 weeks ago

    Ruskin, Florida, United States Optum Full time

    We are seeking a skilled Healthcare Operations Coordinator to join our team at Optum, a global organization dedicated to delivering care and improving health outcomes.About the RoleThis is a full-time position that requires administrative support in managing referrals, requests for services, and prior authorizations. The successful candidate will work...

  • Nursing Professionals Sought

    4 days ago

    Ruskin, Florida, United States Home Care Now Full time

    Nursing Opportunities at Home Care NowAt Home Care Now, we're seeking qualified LPNs to provide high-quality care to patients in the Ruskin area. As a pediatric care specialist, you'll work closely with our team to deliver exceptional patient outcomes.About the RoleThis 12-hour day shift position involves accompanying children to school and providing...

  • Registered Nurse 12 hour Shifts

    3 weeks ago

    Ruskin, United States Home Care Now Full time

    Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around! Our nurses put their heart into everything they do, making each day better for our patients.  We are hiring RN's with current critical care, vent, trach, g-tube...

  • Pediatric Homecare Nurse

    3 weeks ago

    Ruskin, Florida, United States Family First Homecare Full time

    About Family First HomecareWe provide exceptional homecare services to children with life-long health conditions. Our team is dedicated to delivering high-quality, personalized care that places family values and exceptional support at the forefront.Job Summary:We are seeking an experienced Pediatric Homecare Nurse to join our team for a dedicated night shift...

  • RN (Registered Nurse)- Homecare- Ruskin

    1 month ago

    Ruskin, United States Maxim Healthcare Full time

    Maxim Healthcare in Tampa, FL is hiring for a Registered Nurse to work with Pediatric patients, 12 hours shifts in Ruskin, FL SIGN ON BONUS, Apply for Details ! Why Join Maxim? * Competitive pay & weekly paychecks * Paid training and licensing * Flexible scheduling - PT and FT * College Partnership programs & opportunities for continuing education *...

  • RN (Registered Nurse)- Homecare- Ruskin

    6 months ago

    Ruskin, United States Maxim Healthcare Service Full time

    Maxim Healthcare in Tampa, FL is hiring for a Registered Nurse to work with Pediatric patients, 12 hours shifts in Ruskin, FL SIGN ON BONUS, Apply for Details ! Why Join Maxim? Competitive pay & weekly paychecks Paid training and licensing Flexible scheduling – PT and FT College Partnership programs & opportunities for continuing...

  • RN (Registered Nurse)- Homecare- Ruskin

    2 months ago

    Ruskin, United States Maxim Healthcare Services Full time

    Maxim Healthcare in Tampa, FL is hiring for a Registered Nurse to work with Pediatric patients, 12 hours shifts in Ruskin, FLSIGN ON BONUS, Apply for Details !Why Join Maxim?Competitive pay & weekly paychecksPaid training and licensingFlexible scheduling – PT and FTCollege Partnership programs & opportunities for continuing educationBenefits*: Health,...

  • Homecare Registered Nurse

    3 weeks ago

    Ruskin, Florida, United States Maxim Healthcare Full time

    About the Role:We are seeking a compassionate and skilled Registered Nurse to join our Homecare team in Ruskin, FL. As a Registered Nurse with Maxim Healthcare Services, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.Job Summary:This is a 12-hour shift position working with pediatric patients in...

  • Nutritionist (Bi-Lingual: Spanish/English)

    4 months ago

    Ruskin, United States Hillsborough County (Florida) Full time

    Job DescriptionSalary: $25/Hr. Job OverviewPerforms professional level work developing, organizing, administering, and evaluating assigned programs and functions, providing guidance and technical expertise to assigned program staff, other departments, the community, and program participants. Incumbent may coordinate one or more specialized programs.Ideal...

  • Clinic Nurse Bilingual Preferred Optum Sun CIty

    2 months ago

    Ruskin, United States UnitedHealth Group Full time

    **$2,500 Sign-on Bonus for LPN External Candidates / $5,000 Sign-on Bonus for RN External Candidates** Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about...

  • RN Psychiatric

    2 months ago

    Ruskin, United States Amergis Full time

    Requirement: 1 year psychiatric experience Schedule: Nights; rotating weekends Hours: 12hr shifts; 36hrs/week Benefits: Weekly pay, health, vision, dental, 401(k) Amergis Staffing is currently hiring Psychiatric/Mental Health Registered Nurses (RN). Essential Duties and Responsibilities: Utilizes the nursing process to assess, plan, implement and...

  • Clinic Nurse Bilingual Preferred Optum Sun CIty

    3 months ago

    Ruskin, United States UnitedHealth Group Full time

    $2,500 Sign-on Bonus for LPN External Candidates / $5,000 Sign-on Bonus for RN External Candidates Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another...

  • Clinic Nurse Bilingual Preferred Optum Sun City

    4 months ago

    Ruskin, United States Optum Full time

    $2,500 Sign-on Bonus for LPN External Candidates / $5,000 Sign-on Bonus for RN External Candidates Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another...

  • Nutritionist (Bi-Lingual: Spanish/English)

    4 months ago

    Ruskin, United States Hillsborough County (Florida) Full time

    Job DescriptionSalary: $25/Hr. Job Overview Performs professional level work developing, organizing, administering, and evaluating assigned programs and functions, providing guidance and technical expertise to assigned program staff, other departments, the community, and program participants. Incumbent may coordinate one or more specialized programs. Ideal...