Optum Chart Review Jobs (NOW HIRING)

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Optum's region is redefining health care with a focus on health equity, affordability, quality, and convenience. In California, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.

The Clinic Coordinator is responsible for the completion of processes and protocols that support efficient and effective patient care. As a member of the central clinic operations support team, they provide support to designated region(s). Contribute to day-to-day patient care through central care coordination, patient outreach, specialty care coordination, and system navigation. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals. Coordinators will work from a regional administrative office and may occasionally travel to a clinic within the region.

• Engage in activities to ensure all needed patient information is available in the EMR prior to the patient's visit, including:
• Complete chart review and necessary preparations of patient record for designated care team prior to visit
• Review patient's chart for various items, including:
• Last visit note for additional needs or follow-ups, including consult and surgical notes, imaging, and lab results that are not documented
• Open quality care gaps and HEDIS measures
• Recent hospital discharge
• Initiate and conduct calls to patients prior to appointment date to prepare patients for visit, including:
• Confirm appointment, reason for the visit, review prescription refill requests, and determine if they have new medical records since last visit
• Complete visit preparation activities ahead of patient visit, including:
• Reconcile data across operational systems and add supplemental data
• Generate standing orders in EMR as applicable
• Conduct follow up on referrals associated with open care gaps, hospital discharges or other open items ahead of the patient visit
• Send tasks for completion to other departments, request medical records when needed from hospitals, ERs, UCs, labs and other health services providers
• Document medication refill requests, if applicable
• Document changes in EMR
• Manage pursuit lists and conduct outreach to patients as needed

• Participate in planning, coordinating, and scheduling care in conjunction with the multidisciplinary team in accordance with the Plan of Care
• Facilitate and / or participate care team meetings
• Review status of appointment with Community Volunteer Coordinator and schedule appointments as needed
• Perform other duties and assignments as required

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.

• High School Diploma/GED (or higher)
• Medical Assisting Certification
• 1+ years of health care or customer service work experience with solid communication skills
• Experience with EMR computer applications
• Working knowledge of general office procedures
• Working knowledge of the healthcare industry, roles, and terminology
• Basic level proficiency in Microsoft Office

• Experience with medical insurance
• Bilingual
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
• Ability to work in a fast-paced environment
• Work collaboratively with various groups to achieve specific team goals
• Ability to work independently and as a team and maintain good judgment and accountability
• Solid organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines

• Interaction with others that requires employee to verbally communicate, as well as hear and understand spoken information
• Operate computers, telephone, office equipment, including manipulating paper requiring the ability to move fingers and hands
• See and read computer monitors and documents
• Ability to travel to multiple work locations

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

OptumCare 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.

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