For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care.

Southwest Medical, part of OptumCare, is a multi - specialty group of physicians, Nurse Practitioners, and Physician Assistants consisting of over 300 providers, 21 medical health centers including six urgent care clinics, four convenient care centers, two lifestyle centers catering to older adults, an outpatient surgery center, home health, hospice and palliative care services, plus E-visits and online options via Now Clinic telemedicine technology. Southwest Medical offers patients compassion, innovation, and quality care throughout southern Nevada. Southwest Medical is headquartered in the greater Las Vegas, NV area.

Southwest Medical Associates is one of Nevada’s largest multi-specialty medical groups. (SMA) Experience, Compassion, Innovation, Quality have been the very foundation of SMA since we formed in 1972. We serve a broad expanse of Southern Nevada communities. From 24-hour urgent care to convenient e-visit capabilities, we're bringing our patients the health care they want, the way they want it.

Primary Responsibilities:

• Manage the intake of members or the admission/discharge information post notification
• Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and/or providers
• Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
• Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
• Handle resolution / inquiries from members and/or providers that may include:
• Initial screening of members
• Administrative intake of members or managing the admission / discharge information post-notification
• Work with hospitals and the clinical team. Includes managing incoming calls
• Manage requests for services from providers / members, provide information on available network services and transfer members as appropriate to clinical staff
• Manage the referrals process, processes incoming and outgoing referrals, and prior authorizations
• Intake, notification and census roles
  

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 or GED
• 1+ years of customer service experience analyzing and solving customer problems
• 1+ years of experience working in a hospital, physician's office, or medical clinical setting
• 1+ years of experience working with healthcare insurance
  

Preferred Qualifications:

• Experience working with Medicare and/or Medicaid Services
• Experience working in a call center environment
• Working knowledge of medical terminology to communicate with members and providers
• Demonstrated ability to create, edit, save and send documents utilizing Microsoft Word and Excel
• Demonstrated ability to navigate a PC to open applications, send emails, and conduct data entry
  

Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Nevada Residents Only: The hourly range for Nevada residents is $16.00 to $31.44. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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