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Bilingual (English/Spanish) Care Navigator - National Remote

Company: UnitedHealth Group
Location: Plano
Posted on: January 22, 2023

Job Description:

$1,000 Sign On Bonus For External Candidates

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast - growing environment.

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work. SM

Our Care Navigators have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care. Care Navigators will responsible for making outbound calls to dual special need members, Make approximately 22+ calls daily during ramp/high volume periods, Administer Health assessments, Discuss benefits, and Function as a liaison, bridge between providers and patients.

This position is full-time (40 hours/week). Employees are required to have the flexibility to work any of our 8-hour shift schedules within our normal business hours of 9:00am - 5:30pm EST.

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

Primary Responsibilities:

  • Completes telephonic outreach to DSNP members utilizing auto dialer and manual dialing
  • Educates member on gaps in care and assists with scheduling provider appointments
  • Assists members with social determinants of health and links to community resources
  • Ensures member has access to PCP
  • Identifies gaps in care and assists in closure of gaps
  • Outreaches members on caseload consistent with program guidelines
  • Consistently meets metrics, both quality & performance
  • Provides excellent customer service to both members and providers
  • Constantly maintains schedule adherence and good attendance
  • Maintains confidential health information according to state and federal regulations including HIPAA.
    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)
    • Bilingual (English and Spanish)
    • 1+ years of call center and / or telephonic customer service experience
    • 1+ years of professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties
    • 1+ years of Healthcare / insurance experience and/or Social-Work / Community Outreach / Advocacy experience
    • 1+ years experience analyzing and solving customer problems
    • Experience using Microsoft Word (edit, create & save documents), Microsoft Excel (sorting & filtering data), and Microsoft Outlook (email, folders, attachments and calendaring)
    • Ability to work from home
    • Ability to work any 8-hour shift Monday - Friday within our normal business hours of 9:00am - 5:30pm EST
      Preferred Qualifications:
      • Bachelor's Degree in Social Work, Public Health or related field
      • Experience as a telecommuter
      • Medicaid and / or Medicare experience
      • Experience working with medical terminology
        Telecommuting Requirements:
        • Have a dedicated work area established that is separated from other living areas and provides information privacy
        • Ability to keep all company sensitive documents secure (if applicable)
        • Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
          Soft Skills:
          • Ability to maintain metrics and goals within the department
          • Ability to work on the phone and multiple systems on the computer simultaneously while assisting members
          • Ability to make reach out to members without prior engagement
          • Excellent Organizational Skills
          • Telephone etiquette
            UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

            Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at

            Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible.

            Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

            Colorado, Connecticut, Nevada or New York City Residents Only: The salary range for Colorado residents is $18.17 - $32.26. The salary range for Connecticut / Nevada / New York City residents is $20.00 - $35.53. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

            PLEASE NOTE The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

            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.

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Keywords: UnitedHealth Group, Plano , Bilingual (English/Spanish) Care Navigator - National Remote, Other , Plano, Texas

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