Clinical Administrative Coordinator - Remote in Indiana

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Clinical Administrative Coordinator receives and enters all reportable and critical incidents into the identified electronic platform to increase effective management of unusual occurrences following federal regulations and state rules. The individual compiles and maintains report data in a standard format to support the PathWays Program. This position is responsible for timely submissions to FSSA and interactions with internal and external health plan partners. This individual will provide administrative support so that data may be tracked and trended to support mitigation of future occurrences of reportable and critical incidents. The PathWays Critical Incidents Clinical Administrative Coordinator ensures compliance with regulatory requirements related to PathWays and maintains a constant state of audit readiness.

Working Schedule: Schedule is Monday through Friday 8-5pm EST.

Location: Remote in the state of Indiana

If you reside within the state of Indiana, you will enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Analyze reports to determine if the identified instances meet the threshold for a critical incident
• Determines if abuse, neglect, or exploitation have occurred. If ANE is reasonably suspected, files or directs the designee to file a report with APS
• Verifies member eligibility
• Notifies the Critical Incidents Analysts of any immediate potential threats to member health, safety, and welfare
• Determines whether additional information is required from the provider or other parties related to critical incidents and secures and reviews additional details as needed
• Assigns incidents to Critical Incidents Analysts based on regional designations
• Participation with the interdisciplinary team as needed
• Documents according to industry-standard guidelines
• Implements and maintains necessary databases to complete standard reports and analyses within established timelines
• Completes ad hoc reports as requested
• Interfaces with multiple internal clinical staff and external providers to gather information related to Critical Incident Management
• Manages assigned special projects to completion within established target dates
• Identifies, implements, and monitors opportunities for best practices and standards
• Maintains positive relationships with internal and external partners such as state representatives or share services partners
• Use creativity to solve problems
• Share best practices and support team goals and objectives
• Drive consistency and efficient processes on the team

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 experience working within a healthcare or managed care environment, state government health, human services, or healthcare business areas
• Intermediate level of experience with Microsoft Office including Word, Power Point, and Excel
• Must reside in Indiana

Preferred Qualifications:

• 2+ years of experience working within a healthcare or managed care environment, state government health, human services, or healthcare business areas
• Experience in a Managed Long-Term Services and Supports (MLTSS) environment
• Medical record review experience
• Knowledge of healthcare products, delivery systems, claims processing and supporting systems

Soft Skills:

• Excellent interpersonal and communication skills
• Reporting skills and strong analytical skills
• Ability to write clearly and help with word processing when necessary
• Ability to clearly communicate with internal and external audiences
• Ability to be flexible and work with ambiguity
• Ability to self-direct work with strong problem-solving skills
• Ability to multitask and prioritize
• Ability to work collaboratively
• Embrace a growth mindset
• Highly motivated
• Ability to work in a high-paced environment with tight deadlines

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

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.

UnitedHealth Group 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.

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

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