Referral Navigator - Las Vegas, NV

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. 

The Referral Navigator will assist patients face to face in a primary care clinic setting with referral creation, ordering and scheduling of all testing necessary to satisfy referral requirements for specialty care. Additionally, they will schedule appointments with the specialty provider and monitor and process referrals until all pending information is complete. They are expected to collaborate with all members of the care team to support the vision, mission and goals of OptumCare NV and will be supervised by the Clinical Ops Supervisor and/or manager as applicable.

Schedule: Monday – Friday, 8:00AM – 5:00PM

Location: 2716 N Tenaya Way, Las Vegas, NV

Primary Responsibilities:

• Answers phones and schedules appointments
• Answer telephone calls, re-direct calls as appropriate, assist callers with questions or concerns, and take messages as needed
• Manages medical records (maintains, files/scans, prepares for schedule)
• Ensures all correspondence is scanned and/or filed, processes requests for medical records release and maintains appropriate logs, etc.
• Establish and maintain effective working relationships with patients, employees, and the public
• Provide initial contact with patient at the close of appointment to help with understanding their referral(s), facilitate the completion of required labs/tests, and scheduling specialty appointments within SMA and with network providers. Resolve complex issues, rarely deferring to the Senior Referral Navigator
• Create referrals for specialty care utilizing clear decision trees and monitor all outstanding incomplete referrals until requirements are satisfied and dispositioned
• Address all patient care items regarding their specialty referrals via tasking, RightFax, email, and telephone
• Responsible for meeting/exceeding customer service standards in communication, appointment scheduling, processing and dispositioning specialty referrals
• Always conduct scheduling and call processes in a professional manner. Maintain contact with patients and regularly update with status of any pending referral requirements
• Communicate with Primary Care Providers when referral requirements are not met to assist with plan of care
• Collaborate with contracted network providers to ensure patient needs are being met
• Recommend process changes to improve efficiency and promote customer service excellence
• Responsible for compliance requirements as dictated by clinic needs, SOPs, Press Ganey Scores and audit results
• Performs all other related 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.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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 (or higher)
• 1 years of related healthcare and scheduling experience
• Intermediate level of proficiency in Microsoft Office applications 

Preferred Qualifications:

• 1 years of experience with electronic health records (Epic Systems)
• 1 years of customer service experience with strong communication both in person and via phone
• 1 years of experience handling and triaging of telephone calls and a multi-system phone line
• Knowledge of medical terminology
• Ability to handle cash and to count money at high volumes including mathematical computations

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.

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

Salary : $17 - $33