Administrative Coordinator, Clinical

About The Company

Optum Home & Community Care is a pioneering organization dedicated to transforming the healthcare landscape by integrating industry-leading solutions to develop a comprehensive care model. Our mission is to address the physical, mental, and social needs of individuals, providing seamless access to care anytime and anywhere. We are committed to creating innovative, patient-centered approaches that improve health outcomes and enhance quality of life. As part of UnitedHealth Group, we leverage extensive resources and expertise to support our vision of making healthcare more accessible, efficient, and compassionate for diverse populations across the country.

About The Role

The Clinical Administrative Coordinator is a vital remote position within our Care Transition product team, primarily responsible for serving as the main point of contact for healthcare providers and members receiving post-acute services. This role involves providing administrative support to our multidisciplinary clinical team, ensuring smooth communication and coordination during patient transitions from hospital to home. The Coordinator plays a key role in managing inbound and outbound communications, maintaining accurate documentation, and supporting the overall continuum of care. This full-time position requires flexibility to work Saturday through Tuesday, with shifts scheduled during normal business hours of 7:00 am to 5:30 pm CST. The role offers comprehensive training and opportunities for professional growth within a dynamic, innovative healthcare environment.

Qualifications

• High School Diploma / GED or equivalent work experience
• Must be 18 years of age or older
• Minimum 1+ years of experience in a call center environment
• Proficiency in communication via telephone, email, and messaging platforms such as Microsoft Teams
• Ability to work a 10-hour shift schedule Saturday - Tuesday from 7:00 am to 5:30 pm CST
• Flexibility to work occasional overtime or weekends as required
  
  

Preferred Qualifications

• Familiarity with medical terminology and HIPAA laws
• Experience working in a healthcare setting
• Background in high-volume, production-based environments
• Proven track record of meeting performance goals
• Excellent written and verbal communication skills
• Critical thinking and problem-solving abilities
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)
• Strong attention to detail and data interpretation skills
• Ability to prioritize and organize multiple tasks effectively
  
  

Responsibilities

• Manage inbound and outbound telephone communications professionally, adhering to productivity and quality standards.
• Process electronic data and communication, including faxes, emails, and system notifications, efficiently and accurately.
• Enter, review, and verify member information within the Home & Community Care documentation system, ensuring data integrity.
• Maintain and update member records, including disenrollment, care transitions, authorization creation, and documentation attachments.
• Coordinate member care between healthcare providers and the health plan to facilitate seamless transitions and continuity of care.
• Establish and maintain effective communication with providers, clients, and care management staff, respecting departmental policies.
• Triage and respond to inbound calls and emails, resolving inquiries or escalating issues to appropriate teams.
• Generate and review reports to monitor workflow, performance metrics, and task completion.
• Serve as a mentor to new team members, providing training and support during onboarding.
• Support operational and procedural questions, acting as a first-line peer resource.
• Follow established chain of command for issue resolution and escalation.
• Participate in team reviews, resource allocation, and process improvement initiatives.
• Create and update training materials and conduct quality audits as needed.
• Assist with special projects, sales tickets, and time studies to support team efficiency.
• Attend departmental meetings and contribute to team engagement activities.
• Adhere to organizational policies, compliance standards, and regulatory requirements.
• Perform additional duties as assigned to support team success and organizational goals.
  
  

Benefits

• Comprehensive health, dental, and vision insurance options
• 401(k) retirement savings plan with company contributions
• Paid training and ongoing professional development opportunities
• Paid time off and holiday leave
• Performance-based incentives and recognition programs
• Flexible remote work environment with necessary equipment provided
• Opportunities for career advancement within a growing organization
  
  

Equal Opportunity

UnitedHealth Group is an Equal Opportunity Employer committed to diversity and inclusion. We do not discriminate based on race, gender, age, religion, national origin, disability, sexual orientation, gender identity, or any other legally protected status. We believe in fostering a work environment where all individuals are valued and empowered to contribute to our mission of helping people live healthier lives and making the healthcare system work better for everyone.