Care Team Associate - Farmington, CT

Opportunities with Advantage Plus Network of Connecticut, part of the Optum family of businesses. When you work at Advantage Plus Network of Connecticut, your contributions directly sustain the health and well-being of our community. Discover high levels of teamwork, robust medical resources and a deep commitment to exceptional care and service. Join a leading community-based medical group and discover the meaning behind Caring. Connecting. Growing together. This position is full time, Monday - Friday. Employees are required to have flexibility to work our normal business hours of 8:00am - 4:30pm EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 3 FARM GLEN Blvd Farmington, CT. Employees are required to work some days onsite and some days from home. We offer 4-8 weeks of paid training. The hours during training will be 8am to 4:30pm EST, Monday - Friday. Training will be conducted onsite and virtual. If you are within commutable distance to the office at Farmington, CT, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Primary Responsibilities: * Documents all member interactions in a concise manner that is compliant with documentation requirements for Model of Care, NCQA and Center for Medicare and Medicaid Services (CMS) regulations * Receives and responds to incoming Care Coordination inquiries from all communication venues: e.g., phone queue, CMUM electronic platform, portal, department e-mail box or RightFax * Coordinates and assists in monitoring of documentation Care Management queues for Disease Management, Transitions of Care, Complex Care, and Social Work referrals * CTA processes CM requests via all communication venues; as well as administrative preparation for clinical staff * Conducts in-bound and out-bound calls for program requirements including, but not limited to: member scheduling, surveysscreenings, census management and distribution of materials to appropriate clinical personnel or members * Performs daily preparation of INPT and Post-Acute Census for use in CM referrals, and informs Care Management Manager of outstanding cases to ensure adherence to NCQA regulations * Completes timely data entry of in-bound andor out-bound call member contact information into software applications * Provides clerical andor administrative support to clinical staff and managers for special projects and reporting needs * Provides excellent customer service by serving as a resource to all internal and external customers * Attends required meetings and participate in adhoc committees as needed * Maintains knowledge of all health plan benefits, network, NCQA regulations, health plan policies * Identifies opportunities for process improvement in all aspects of member care * Must maintain strict confidentiality at all times * Must adhere to all departmentorganizational policies and procedures * Performs all other related 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 work experience * Must be 18 years or older * Medical assistant certification * 2+ years of administrative support experience * Medical terminology knowledge base * Advanced knowledge of Microsoft Office products, including Excel, Word, and Outlook * Ability to toggle between multiple IT systems and platforms * Ability to work our normal business hours of 8:00am - 4:30pm CST. It may be necessary, given the business need, to work occasional overtime. Preferred Qualifications: * 2+ years of experience in a physician's clinic or hospital * 2+ years of experience working in a medical care setting as a receptionist or medical assistant * Ability to prioritize, plan, and handle multiple tasksdemands simultaneously * Ability to work independently, with some supervision and direction from manager * Ability to maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times * Ability to possess and demonstrate excellent organizational skills, customer service skills, to include verbal and written communication Telecommuting Requirements: * Reside within commutable distance to the office at Farmington, CT * 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. * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Connecticut Residents Only: The hourly range for this is $16.54 - $32.55 per hour. 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. 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

Created: 2024-11-05