Care Team Associate - National Remote - UnitedHealth Group : Job Details

Documents all patient 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, TruCare, portal, claim queue, department e-mail box or Rightfax. Coordinates and assists in monitoring of documentation Care Management queues for Concurrent, Complex Care, and Social Work referrals, CTA processes UM 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: patient scheduling, surveys/screenings, census management and distribution of materials to appropriate clinical personnel or members. Performs daily preparation of Inpatient Census to include monitoring of UM expedited, standard, concurrent in-patient cases in pend and informs Care Mana...Associate, Medical Assistant, Microsoft, Remote, Health, Customer Service, Technology, Healthcare