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Behavioral Care Advocate, CA - After Hours (Remote)
UnitedHealth Group
-
Concord, CA
Field inbound calls in a queue from members and providers for purpose of assessment and triage Focus on initial inpatient admission for psychiatric and chemical dependency patients Make patient assessments and determining appropriate levels of care Participate in member crisis calls Determine if additional clinical treatment sessions are needed Manage inpatient mental hea
Email Job
Posted 13 days ago
Strategic Account Executive, KA - New Jersey
UnitedHealth Group
-
East Brunswick, NJ
Accountable for customer (employer) loyalty and satisfaction, as measured by survey results and persistency Establish, cultivate and manage the customer relationship at multiple levels, serving as a healthcare consultant and trusted business advisor to these customers Establish, cultivate and manage relationships with consultants and brokers, recognizing the value they br
Email Job
Posted 13 days ago
Senior Investigator
UnitedHealth Group
-
Lansing, MI
Investigate medium to highly complex cases of fraud, waste, and abuse Detect fraudulent activity by members, providers, employees and other parties against the Company Develop and deploy the most effective and efficient investigative strategy for each investigation Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case t
Email Job
Posted 13 days ago
Market Growth Manager, Medicare - NYC/Long Island
UnitedHealth Group
-
Long Island City, NY
Build and maintain solid relationships with key brokers and others as necessary within the assigned territory Develops action plans and strategies to optimize Medicare sales Partner with the Community Developer (CD) and Sales Director (SD) to identify and develop relationships with individuals and organizations that influence the buying behavior of our target consumer (e.
Email Job
Posted Today
RN Field Clinical Care Coordinator/Transitions-Boerne, TX
UnitedHealth Group
-
Boerne, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact
Email Job
Posted 1 day ago
Market Growth Director - Medicare - Southwest FL - Remote
UnitedHealth Group
-
Fort Myers, FL
Driving Medicare sales growth and growing relationships with agencies that sell our products Develop and implement the sales strategy to exceed revenue targets, including the demand generation plan and sales process for both our direct and partner channels Manage all aspects of new strategic account development prospecting, consultation, building strategic alliances, comp
Email Job
Posted 3 days ago
Sr Industrial Engineer - Remote
UnitedHealth Group
-
Minnetonka, MN
Responsible for assigned operations, managing work standards, identifying cost savings, and other special engineering projects to drive cost efficiency and operational improvements Act as a liaison with other segments of Business Enablement to improve operational coordination and standardization Collaborate with other teams to deploy enterprise productivity tools Complete
Email Job
Posted 3 days ago
Health Engagement Nurse - Remote in Columbus, OH
UnitedHealth Group
-
Columbus, OH
Educate members on health education and condition management (formal and informal), as well as plan specifics and member resources, in collaboration with OptumHealth Referral of employees to available clinical programs including premium designated physicians Create, manage, and implement employer specific programs based on employer needs Monitors and analyzes customer spe
Email Job
Posted 5 days ago
Field Care Coordinator - Tidewater and Eastern Shore, VA
UnitedHealth Group
-
Williamsburg, VA
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medicati
Email Job
Posted 5 days ago
Sr HEDIS Clinical Quality Analyst - Remote in New Mexico
UnitedHealth Group
-
Albuquerque, NM
Solves moderately complex problems and/or conducts moderately complex analyses Perform and/or facilitate functions ensuring Prospective and HEDIS quality reporting requirements are met in accordance with NCQA, CMS and State technical specifications Collect Quality data and/or information based on applicable standards, state/federal or other regulations, customer or consum
Email Job
Posted 6 days ago
Health Engagement Nurse - Hybrid - Senoia, Molena or Zebulon, GA area
UnitedHealth Group
-
Senoia, GA
Educate members on health education and condition management (formal and informal), as well as plan specifics and member resources, in collaboration with OptumHealth Referral of employees to available clinical programs including premium designated physicians Create, manage and implement employer specific programs based on employer needs Monitors and analyzes customer spec
Email Job
Posted 6 days ago
RN Clinical Coordinator - Wayne and Johnston County - NC
UnitedHealth Group
-
Goldsboro, NC
Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for both healthcare and community based services; including but not limited to financial, psychosocial, community and state supportive services Develop and implement care
Email Job
Posted 6 days ago
Claims Adjustment Representative - Remote in TN
UnitedHealth Group
-
Chattanooga, TN
Update claim information based on research and communication from member or provider Complete necessary adjustments to claims and ensure the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certif
Email Job
Posted 8 days ago
OB Home Care Nurse - St. Louis, MO
UnitedHealth Group
-
St. Louis, MO
Provide skilled nursing care for expectant mothers in the home care environment Travel to provide in home patient care and continuous education to patients and family members Continually assess the mothers' condition to ensure they are safe in the home environment Modify care plans as appropriate based on reassessment, change in prescriber orders, the patient's need for f
Email Job
Posted 8 days ago
Telecommute Healthcare Advocate
UnitedHealth Group
-
Hopkinsville, KY / Owensboro, KY
If you reside within Western, KY you will have the flexibility to telecommute as you take on some tough challenges. Primary Responsibilities Functioning independently, travel across assigned territory to meet with providers to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage Members. Will be out in the field 80% of time in d
Email Job
Posted 8 days ago
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