Care Coordinator
Care Coordinator
About this role
Responsible for welcoming and orienting prospective patients to health enhancement and coordinating delivery of quality services through appropriate data gathering and resource referrals. Acts as the primary point of contact to facilitate effective patient communication in support of the Health Enhancement/Education team to ensure continuity of care across the care of continuum and improve patient outcomes.
If you are located in CA, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each internal and external customer
- Contact patients to participate in Health Enhancement/Education programs for chronic condition management delivered by the health enhancement department, and documents correspondences
- Ensures timely outreach to patient population and serves as a primary point of contact between patient and Health Enhancement/Education team to anticipate and appropriately address patient questions and concerns
- Confirms patient understanding of programs available and provides information to patients on available tools, resources, appropriate and new services available
- Ensures ongoing coordinated management of patient care with appropriate resource allocations, referrals and notifications that are purposeful, supportive, and interconnected with team members
- Notifies the Health Enhancement/Education team of patient requests, need for referral, and facilitate referrals
- Facilitates the identification, recommendation and appropriate enrollment to health enhancement programs and other community-based assistance or support programs for a selected patient population
- Assists in care delivery through the provision of scripted health education and monitoring
- Expedites completion of referrals, confirms program scheduling, receipt of pertinent, mailed materials, coordinates, and notifies appropriate team members for follow ups
- Meets or exceeds productivity targets
- Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with HIPAA standards
- Performs additional duties as assigned
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, G.E.D., or equivalent 1+ years of experience in a healthcare setting
Preferred Qualifications:
Bilingual Spanish 1+ years of experience as a medical assistant or clinical administrative capacity with the organization
Knowledge, Skills, Abilities:
- Computer literate
- Basic Microsoft Office skills
- Ability to work with multiple computer platforms simultaneously
- Outstanding customer service skills
- Excellent verbal and written communication skills with ability to read, write, speak, and understand English clearly
- Good critical thinking skills and resourcefulness
- Ability to solve problems effectively assist patients with issues and challenges
- Health literacy and cultural awareness skills to effectively coordinate patient centric care
- Basic understanding of managed care principles
- Understanding Medicare and MediCal / Medicaid benefits
- Ability to perform multiple tasks
- Ability to manage workload and complete assigned tasks within designated timeframes
- Bilingual in English and needed language (based upon demographic needs of panel)
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