Remote Clinical Administrative Coordinator in Tennessee

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Clinical Administrative Coordinator (CAC), is responsible for functions in areas such as health services, clinical services, and delivery of clinical care. The PDN CAC should be able to coordinate and complete multiple projects across various functional areas. Responsibilities include intake of members, managing the referrals process, and administrative support duties. To do this role properly, they must be proficient with computers, have a detailed understanding of the full Microsoft Office suite, and excel at both verbal and written communication. Responsibilities include preparing and maintaining reports, documents, and ensuring deliverables are completed on time. This includes conveying information to and interacting with internal and external audiences using various mediums.

If you reside in the state of Tennessee , you will enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Work independently to identify priorities, make decisions, and complete work to meet established objectives; Works with minimal guidance; seeks guidance on only the most complex tasks
• Access electronic member files using policy or ID number and determine eligibility in documentation platform
• Create program files in the documentation system
• Supports PDN Manager in managing Home Health Missed Visits any Home Health agency providing PDN services and maintaining documentation in the clinical management system
• Prepare and provide information and/or documentation to support reporting or standard deliverables to TennCare as needed
• Collaborates with PDN HSS Care Coordinator, PDN UM Nurse, ECF CHOICES PAE Team or other care partners as needed
• Collaborates with agencies as required to support the PDN Team
• Complies with HIPAA guidelines related to Personal Health Information (PHI) when communicating with others
• Serve as a resource to others and may coordinate the work of other team members
• Apply knowledge/skills to a range of moderately complex activities
• Identify and resolve operational problems using defined processes, expertise, and judgment
• Proactively identify solutions to non-standard requests and solve moderately complex problems on own
• Review work performed by others and provide recommendations for improvement (e.g. CAC Audits, TennCare reports)
• May lead functional or segment teams or projects
• Create/maintain calendars/coordinate meetings avoiding scheduling conflicts
• Work cross-functionally and coordinate with others internally or externally to gather information; overcome challenges to obtaining needed information, (i.e. DIDD/Katie Beckett waiver/ECF program) as needed
• Provide input for and/or create supporting documentation (e.g., project plan; presentation materials) for special projects
• This position may require cross-training with other positions and provide coverage for internal team members as needed
• Adhere to applicable internal and external/governmental guidelines and requirements (e.g., legal, regulatory compliance)
• Perform other related functions as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at:

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:

• Intermediate level of experience with Microsoft Office (PowerPoint, Word, Excel, & Outlook)
• Intermediate level of experience with relevant computer systems and platforms and ability to operate and integrate those systems (Intranet, Internet, SharePoint, Microsoft Teams, Cisco WebEx)
• Intermediate level of knowledge of TennCare guidelines, eligibility and requirements
• Must reside in the state of Tennessee
• Ability to travel minimally to meet business needs

Preferred Qualifications:

• Undergraduate degree or equivalent experience
• 1+ years of experience working with the complexities of a multi-tiered managed care organization
• Experience with Medicaid and/or Medicare
• Experience with writing and submitting regulatory reports
• Experience managing multiple projects
• Proficient with relevant computer systems and platforms and ability to operate and integrate those systems (ICUE, Community Care)
• Working knowledge of clinical documentation system
• Understanding of applicable business departments' operations, drivers, and/or procedures
• Understanding of fundamental health-care-related terminology, programs, and/or services
• Understanding of relevant federal and state regulatory guidelines (e.g., CMS, NCQA, HIPAA)

Soft Skills:

• Understanding grammar rules and how to construct clear sentences
• Excellent interpersonal and communication skills
• Reporting skills and strong analytical skills
• Ability to write clearly and help with word processing when necessary
• Ability to communicate clearly with internal and external audiences
• Ability to be flexible and work with ambiguity
• Ability to self-direct work with strong problem-solving skills
• Ability to multitask and prioritize
• Ability to work collaboratively
• Embrace a growth mindset
• Highly motivated

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

For more information on our Internal Job Posting Policy, click here .

The salary range for this role is $ 16.88 to $ 33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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