Field Based Skilled Facility Navigator CAC - Las Vegas, NV - Las Vegas Nevada

Company: Optum
Location: Las Vegas, Nevada
Posted On: 05/04/2025

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. This position will be onsite at assigned skilled facilities. The - Skilled Facility Navigator CAC - Position is responsible for assisting our Optum NV Medicare Advantage members at the facility bedside upon admission to the skilled facility up through discharge focusing on ensuring a safe discharge plan and preventing a return to acute facility admission for our higher risk population. Will collaborate and work closely with Optum SNF's and facility personnel. This position is full-time. Employees are required to work an 8-hour shift schedule during our normal business hours of 8:00am - 5:00pm PST, Monday - Friday. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 2716 N Tenaya Way Las Vegas, NV. We offer up to 90 days of on-the-job, field based training. The hours during training will be an 8-hour shift between 8:00am to 5:00pm, Monday - Friday. Training will take place at our office located at 2716 N Tenaya Way Las Vegas, NV as well as in the field. Primary Responsibilities: -

• Manage intake of SNF members
• Work with SNF facilities and the clinical team to manage requests for services from members and/or providers
• Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
• Document and assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
• Handle resolution/inquiries from members and/or providers
• Other duties as assigned 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 equivalent years of experience
  • Must be 18 years of age OR older
  • 1+ years of patient service/health care experience
  • 1+ years of experience within the health care Industry working in a hospital, physician's office, OR medical clinic setting and with health care insurance
  • Experience with computers and windows-based programs including Microsoft Word, Microsoft Excel and Microsoft Outlook
  • Ability to w ork full-time. Employees are required to work an 8-hour shift schedule during our normal business hours of 8:00am - 5:00pm PST, Monday - Friday. It may be necessary, given the business need, to work occasional overtime or weekends Preferred Qualifications:
    • 2+ years of clinical customer service experience
    • Previous Clerical or administrative support experience The hourly 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. - - 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. -#RPO #RED - More...

          

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