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Telephonic Care Navigator - Remote in Missouri Job at UnitedHealth Group

UnitedHealth Group St. Louis, MO 63103

$ 1,000 Sign-On Bonus for External Candidates


If you are located within the state of Missouri, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.



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.


There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an email with information regarding next steps including any pre - employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: http://uhg.hr/OurApplicationProcess


This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8- hour shift schedules during our normal business hours of 9:00 am to 5:30 pm EST. It may be necessary, given the business need, to work occasional overtime. This is a telecommute / work at home role.


We offer 2 weeks of paid training. Training will be conducted virtually from your home.


What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/


  • 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
  • 2+ years of experience analyzing and solving customer problems
  • 1+ years of call center and / or telephonic customer service experience

  • 1+ years of Healthcare / insurance experience and/or Social work/community outreach / advocacy experience

  • 1+ years of professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties

  • Ability to work Monday – Friday 9:00am - 5:30pm EST

  • Work experience using Microsoft Word (edit, create & save documents), Microsoft Excel (sorting & filtering data), and Microsoft Outlook (email, folders, attachments, and calendaring)


Preferred Qualifications:


  • Bachelor’s Degree (or higher) in Social Work, Public Health or related field

  • Medicaid and / or Medicare experience

  • Previous experience as a telecommuter

  • Experience working with medical terminology


Telecommuting Requirements:


  • Reside within the state of Missouri

  • Ability to keep all company sensitive documents secure (if applicable)

  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy

  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service


Soft Skills:



  • Must be able and comfortable with maintaining metrics and goals within the department

  • Must be comfortable working on the phone and multiple systems on the computer simultaneously while assisting members


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 https://uhg.hr/transitioning-military


Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet


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.


**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.


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 #YELLOW




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