Remote Optum Utilization Review Jobs in Spokane, WA

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.

Wellness Coordinators function in a non-clinical capacity responsible for providing care coordination or administrative support to members with behavioral health and substance abuse needs. 

Wellness Coordinators will be a primary care navigator by locating and engage members, screening for and identifying gaps in care, addressing SDOH needs and developing individual care plans to overcome barriers to access to care. 

Wellness Coordinators will also provide administrative support to the Behavioral Health Case Management department through assigning referrals, providing chart summaries and verification of member demographics. 

Schedule: Monday through Friday a 40-hour work week between the hours of 8:00 am to 5:00 pm CST or if you reside in Washington 8:00 am to 5:00 pm PST

Location: Remote multi-states must reside in one of these states: Indiana, Missouri, Texas, Virginia, Kansas, and Washington

If you are located in Indiana, Missouri, Texas, Virginia, Kansas, and Washington, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities: 

• Wellness Coordinators work in an inbound and outbound member queue
• Documentation in multiple electronic documentation systems
• Coordinate information to clinical team partners
• Provide behavioral health benefit education
• Contact members to screen for and identity gaps in care
• Provide network referrals and appropriate community resources to help the member engage with mental health and substance use treatment
• Administrative support
• Performs other duties 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.)

 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
• 2 years of managed care or call center experience
• 1 years of computer proficiency experience
• 1 years of experience handling sensitive issues with members and providers in a confidential manner
• 1 years of Dual diagnosis experience with mental health and substance abuse
• 1 years of experience in Medical/Behavioral health setting providing service or care coordination (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
• Ability to be on camera during team meetings
• Ability to work a 40-hour work week from 8:00 am to 5:00 pm CST if you reside in Indiana, Missouri, Texas, Virginia, Kansas or work a 40-hour work week from 8:00 am to 5:00 pm PST if you reside in Washington
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Reside within one of these states: Texas, Missouri, Kansas, Virginia, Indiana or Washington
• Ability to travel as required. Candidates who live near a UHG/Optum site must possess a current, valid, unrestricted driver's license and maintain state-required auto insurance

Preferred Qualifications:     

• Experience working in an environment that requires coordination of benefits and utilization of multiple groups and resources for patients
• Working knowledge of community-based resources and services
• Creative problem-solving skills with the ability to use community and network resources to meet members' needs
• Demonstrates initiative in achieving individual, team, and organizational goals and objectives

Soft Skills:

• Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn
• Solid oral and written communication skills - specifically telephone skills
• Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work
• Experience handling sensitive issues with members and providers in a confidential manner
• Excellent customer service skills
• Solid team player and team building skills

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

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 - $32 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.

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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