Referral Navigator

Company: UnitedHealth Group
Location: Las Vegas
Posted on: September 18, 2023

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.SM
The Referral Navigator -is responsible for processing referrals from Primary Care Providers (both internal and external/network) for the purposes of obtaining specialist care by our internal / network specialty Providers.
Responsible for building, submitting, processing, and scheduling referrals from primary care providers for the purposes of obtaining specialist care by our internal and external/network specialty providers. This includes but is not limited to confirming all necessary documents and information has been provided, sending back for additional information, cancelling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable, accepting referrals and determining if the referral meets outsource or overflow criteria. While most of the work is computer-based, there is a lot of paperwork handling, faxing, scanning, and multiple telephone calls. This position has direct face to face contact with multiple patients.
This role will float to all clinics as business needs arise.
Schedule: -Monday to Friday from 8:00am to 5:00pm -
Location: -8655 S Eastern Ave. Las Vegas, NV 89123
Primary Responsibilities:

Building new referrals from network providers
Reviewing to ensure all necessary documents and information has been provided
Sending back documents for additional information
Canceling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable
Accepting referrals and determining if meets outsource or overflow criteria
While most of the work is computer-based, there is a lot of paperwork handling, faxing, and scanning in addition to multiple telephone calls
This is primarily a sedentary desk job which will consist of > 90% of time spent working on a computer and handling the telephone
Perform all other duties assigned -

What are the reasons to consider working for UnitedHealth Group? - - Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. -Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: -

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 higher)
CPR certified -or able to attain certification within 30 days of employment

-Preferred Qualifications:

1+ years -of experience and/or training as a Medical Assistant
1+ years -of experience in a healthcare and/or clinical setting
Bilingual in English/Spanish -
2+ years of -experience working in a health field
1+ years of experience working with Electronic Medical Records (EMR) and/or Practice Management Software systems -

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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. -
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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.
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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.
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UnitedHealth Group -is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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#RPO, #Red

Keywords: UnitedHealth Group, Las Vegas , Referral Navigator, Other , Las Vegas, Nevada