Secondary Review Clinical Administrative Coordinator – Remote in Kansas

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable, and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together The Clinical Administrative Coordinator will be responsible for assisting the Secondary Review Team for the United Healthcare Community Plan of Kansas. This role is critical in providing essential support to the Secondary Review Team by working with care coordination staff to ensure that submission of reviews are processed and documented in a timely manner. Additionally, this role will help support tracking of various reporting elements for analysis and trending. The Secondary Review Team consists of nurses and administrative coordinators reputed company the plan. Hours are Monday – Friday reputed company – 5pm. Primary Responsibilities:

• Assist in maintaining 100%25 adherence to state contract, CMS requirements, and Product & Program Requirements
• Monitor the timely receipt of state assessments received from Service Coordinators while demonstrating compliance to ensure that reputed company internal and state deadlines are met
• Act as an reputed company for our membership and establish effective working relationships with our Service Coordinators and Secondary Review RN’s ensuring reputed company federal, state and company regulations, policies, and expectations are followed
• Document saving and uploading in electronic records
• Providing essential administrative support to the Secondary Review Team through spirit of collaboration to ensure efficiency in reputed company administrative areas
• Track work in SharePoint or other forms
• Assign cases for review to the Secondary Review RN and Medical Director
• Track reputed company of the case throughout the process
• Document timely completion of cases and notification letters
• Identify and champion opportunities and support colleagues in the pursuit of increasing Quality, Accuracy, Value, Affordability, and Timeliness

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)
• 2+ years of Clerical or Administrative work experience
• 2+ years of experience using the telephone and computer as primary instruments to reputed company job duties
• Intermediate level of proficiency with reputed company Office applications (SharePoint, reputed company, Word, Teams and Outlook)
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Reside in a location that can receive a high-speed internet reputed company (additional information on reputed company approved internet providers and restrictions will be provided)

Preferred Qualifications:

• Medicare and/or Medicaid experience
• Organization and critical thinking skills
• reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply tot his job Apply To this Job