Telephonic Care Navigator - Remote in Ohio
Company: UnitedHealth Group
Location: Dayton
Posted on: May 11, 2025
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Job Description:
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.
Our Telephonic Care Navigators have a serious responsibility to
make every contact informative, productive, positive, and memorable
for what it says about how much we care.
This position is full time, Monday - Friday. Employees are required
to have flexibility to work any of our 8-hour shift schedules
during our normal business hours of 9:00am - 5:30pm local time. It
may be necessary, given the business need, to work occasional
overtime.
We offer 2 weeks in classroom plus 1 week of on-the-job training /
precepting. The hours of the training will be based on schedule or
will be discussed on your first day of employment.
If you are located in Ohio, you will have the flexibility to work
remotely* as you take on some tough challenges.
Primary Responsibilities:
Completes telephonic outreach to DSNP/CSNP members utilizing
multiple outreach modes: including auto-dialer, manual and inbound
calls
Educates member on gaps in care and assists with closure of gaps,
including scheduling provider appointments
Assists members with social determinants of health and links to
community resources
Ensures member has access to PCP
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 equivalent work experience
Must be 18 years of age OR older
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 of experience with analyzing and solving customer
problems
Work experience with 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 (access to high-speed broadband)
Ability to attend 100% of the 3 weeks training period. Time off
requests will not be accommodated during this time
Ability to work full time, Monday - Friday. Employees are required
to have flexibility to work any of our 8-hour shift schedules
during our normal business hours of 9:00am - 5:30pm local time. It
may be necessary, given the business need, to work occasional
overtime.
Preferred Qualifications:
Social Work, Public Health OR related field
Bilingual fluency in English and Spanish OR other language
Experience as a telecommuter
Medicaid and / OR Medicare experience
Experience with working with medical terminology
Telecommuting Requirements:
Reside within Ohio
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
Must be comfortable making outreach to members without prior
engagement
Excellent Organizational Skills
Telephone etiquette
*All employees working remotely will be required to adhere to
UnitedHealth Group's Telecommuter Policy
The hourly range for this role is $19.86 to $38.85 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.
#RPO
Keywords: UnitedHealth Group, Fairfield , Telephonic Care Navigator - Remote in Ohio, Other , Dayton, Ohio
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