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Optum’s Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California, to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions. 

Position in this function is responsible for a panel of patients and, in collaboration with other members of an integrated primary care team, helps patients meet their preventive, chronic and acute care needs by being mobile and interacting with them where they are, in their communities and homes. Engages patients and encourage them to take an active role in their health by providing them with the tools necessary to make healthy lifestyle choices and adopt lifelong healthy behaviors.  Gleans information from conversations with patients and helps develop, implement and manage holistic care plan with care team.  Fosters trusting, supportive, collaborative and lasting relationships with patients and their families in a clinical setting, working alongside medical providers in a collaborative, empathetic team by maintaining rapport and open lines of communications with patient to ensure their needs are met and continuity of care is maintained.  Serves as primary point of contact with care team and helps coordinate care, navigate the healthcare industry, and troubleshoot in a crisis or to be a listening ear.  Works alongside and will be supported by a care team associated with each patient.  

Hybrid Position reporting to Torrance, CA or Commerce, CA area.

Primary Responsibilities:

Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care and concern with each and every internal and external customer Serves as the primary point of contact for the patient by providing administrative guidance throughout the entire healthcare process and functioning as the individual who assists the patient in navigating all aspects of the healthcare industry including government regulations Engages in patient advocacy, empowers patients to take charge or leadership in their healthcare and coaches patients to ask questions to understand their disease process as well as treatment plan Assists in patient care coordination that is purposeful and supportive and steers a care team, constantly communicating with other team members around patient needs and desires Follows a panel of patients to coordinate all aspects of their care Meets with members in their homes, neighborhoods and throughout the complicated paths of the healthcare system Communicates with every patient on your panel at least twice a month Conducts regular friendly outreach calls to patient to track continuity of care and anticipate concerns or questions Coordinates care for patients by identifying and addressing their barriers to and social influences on good health Captures relevant information about the patient’s health and healthcare experience and performs standard age and condition-appropriate screening assessments Helps execute on treatment plan developed by the clinician, which includes arrangements for referral to services as appropriate Learns about the chronic health conditions that span the patient panel and helps patients take preventative care measures as instructed by their clinician Facilitates communication with patient and caregiver and coordinates patient care with appropriate resource allocations, referrals and notifications that are purposeful, supportive and interconnected with care team to ensure ongoing coordinated management of patient care Provides anticipatory preventive guidance to families with children and establishes healing relationships with members and families Provides community resource information and performs referral and liaison activities as necessary for the patient’s ambulatory care Maintains current information on all frequently used community resources, financial resources and placement facilities Supports care team through collection of information available in EHR, PIR, from the patient or caregiver to remind and alert team of any concerns, change of condition in patient or recent ED / UCC / hospitalizations Initiates sincere special occasion touch base functions, such as birthday and holiday greetings, phone calls and cards Uses, protects, and discloses Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Performs additional duties as assigned

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 equivalent experience 2+ years of experience working in an office, customer service, or in the medical field 2+ years of work clerical or administrative experience in an office setting Experience in a health plan, medical group or IPA setting working with physician networks

Preferred Qualifications:

Experience in utilizing a clinical information systems Supervisory experience Basic knowledge of medical terminology Proven solid multitasking and typing skills

The hourly range for this role is $23.70 to $46.35 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.