Secondary Review Clinical Administrative Coordinator - Remote in Kansas

Overview

At United Healthcare, we are simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do impacts the lives of millions and helps build a more responsive, affordable, and equitable health care system. Join us to start Caring. Connecting. Growing together
.

The Clinical Administrative Coordinator will support the Secondary Review Team for the United Healthcare Community Plan of Kansas. This role provides essential support to care coordination staff to ensure that reviews are processed and documented in a timely manner. It also helps track various reporting elements for analysis and trend observation. The Secondary Review Team consists of nurses and administrative coordinators within the plan.

Hours are Monday – Friday, 8:00 am – 5:00 pm.

• Assist in maintaining 100% adherence to state contract, CMS requirements, and Product & Program Requirements
• Monitor the timely receipt of state assessments from Service Coordinators and ensure compliance with internal and state deadlines
• Act as an advocate for members and establish effective working relationships with Service Coordinators and Secondary Review RNs, ensuring compliance with federal, state, and company regulations, policies, and expectations
• Document saving and uploading in electronic records
• Provide essential administrative support to the Secondary Review Team to ensure efficiency across administrative areas
• Track work in SharePoint or other systems
• Assign cases for review to the Secondary Review RN and Medical Director
• Track progress of cases throughout the process
• Document timely completion of cases and notification letters
• Identify opportunities to improve Quality, Accuracy, Value, Affordability, and Timeliness

You'll be rewarded and recognized for your performance in an environment that provides clear direction and development opportunities for other roles you may pursue.

• High School Diploma/GED (or higher)
• 2+ years of clerical or administrative work experience
• 2+ years of experience using telephone and computer as primary job tools
• Intermediate proficiency with Microsoft Office applications (SharePoint, Excel, Word, Teams, Outlook)
• Access to a designated quiet workspace at home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Reside in a location with access to high-speed internet (information on United Health Group approved providers and restrictions will be provided)

• Medicare and/or Medicaid experience
• Organization and critical thinking skills

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

Pay is based on factors including local labor markets, education, work experience, certifications, etc. In addition to salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. Benefits are subject to eligibility requirements. The hourly pay for this role ranges from $17.98 to $32.12 per hour based on full-time employment. We comply with all applicable minimum wage laws.

Our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone—regardless of race, gender, sexuality, age, location, or income—deserves the opportunity to live their healthiest life. We are committed to mitigating our environmental impact and delivering equitable care that addresses health disparities and improves health outcomes.

United Health Group is an Equal Employment Opportunity employer. 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 law.

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

#RPO #GREEN