30 Healthcare Providers jobs in Dupont

**Description**
PeaceHealth is seeking a Clinical Social Worker for a Per Diem/Relief, 0.00 FTE, Variable position. The salary range for this job opening at PeaceHealth is $45.14 - $67.70. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
**Job Summary**
The Clinical Social Worker coordinates the development and implementation of a patient care/treatment plan through use of diagnosis and clinical assessment of psychiatric, chemical dependency and psychosocial needs as they relate to medical and behavioral care needs. Provides disposition and discharge planning, risk assessment, case management, and coordination of services to provide continuity of care.
Details of the position
+ The Clinical Social Worker completes appropriate intake documentation, provides ongoing assessment, develops treatment plan in collaboration with the multi-disciplinary treatment team. The Clinical Social Worker also manages multiple complicated cases, maintains current knowledge of ever-changing community resources, monitors patient needs and progress, develops aftercare plans. Maintains documentation on patient throughout hospitalization.
+ Provides brief therapeutic interventions with patients and/or families, as well as community staffings, in coordination with the physician and treatment team. Works as in integral member of the treatment team in the provision of treatment and aftercare planning.
+ Ensures compliance with privacy and confidentiality laws. Interfaces regularly with legal entities to address treatment needs.
+ Assists with monitoring and evaluation of services provided for department quality improvement plan.
+ Maintains current understanding of issues related to culture, ethnicity, gender identity, age, sexual orientation, religion and utilizes appropriate communication skills.
+ Provides information, education and direction in response to community requests.
+ Regularly accesses pharmaceutical and community resources to provide patients with needed psychiatric medications.
+ Provides instruction, training and supervision for graduate level social work students. Also provides clinical supervision toward licensure for CSWA's. Must maintain current licensure through continuing education. Must uphold all ethics, rules and regulations required by the Clinical Board.
+ Diagnoses, assesses and addresses both mental health and chemical dependency conditions. Performs risk assessments for suicidality, homicidality and grave disability.
+ Provides instruction, training and supervision for graduate level social work students. Also provides clinical supervision toward licensure for CSWA's. Must maintain current licensure through continuing education. Must uphold all ethics, rules and regulations required by the Clinical Board.
+ Screen and identify patients who need care management per high-risk criteria.
+ Assess, develop, implement and monitor a comprehensive discharge plan of care through an interdisciplinary team process in conjunction with the patient and family. Collaborate with the multi-disciplinary team to identify problems or needs that require special planning, intervention, teaching or follow-up.
+ Performs other duties as assigned.
What you bring
+ Master's Degree Required: Social Work from an accredited graduate school of social work
+ 2 years Required: Clinical experience with designated population and
+ Required: Clinical Social Worker Required Credentials Must have LCSW (OR), CSWA (OR), LMSW (OR), LICSW (WA), SWAL (WA), SWAICL (WA), or SWAAL (WA).
**Department / Location Specific Notes**
PHMG:
+ In lieu of MSW, a Masters degree in Counseling or related field with a minimum of two years work experience in a medical or healthcare setting, social service agency, or community organization focusing on health and/or welfare issues may be accepted.
+ Demonstrated knowledge of an ability to apply age specific principles of growth and development and life stages to meet each patient's needs.
+ Demonstrated proficiency in social work practice.
PHMG Ambulatory Care Management:
+ In lieu of MSW, a Masters degree in Counseling or related field with a minimum of two years work experience in a medical or healthcare setting, social service agency, or community organization focusing on health and/or welfare issues may be accepted.
+ Demonstrated knowledge of an ability to apply age specific principles of growth and development and life stages to meet each patient's needs.
+ Demonstrated proficiency in social work practice.
+ Valid drivers' license. Responsibilities may include home visits as needed and/or travel to and from clinic sites at multiple locations.
+ Ability to work in an independent and remote environment as position may be a hybrid of onsite and remote work.Ability to work from home in a secure environment free of distractions with appropriate high-speed connectivity.
_For a full description of the position, or for questions, please contact Moussa Sangare at
PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility ( .
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
REQNUMBER:

**Description**
PeaceHealth St. Joseph's Medical Center in Bellingham, WA is seeking a Clinical Social Worker for a Part Time, 0.60 FTE, Night position. The salary range for this job opening at PeaceHealth is $45.14 - $67.70. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
Hiring bonus and relocation assistance may be available!
**Job Summary**
The Clinical Social Worker coordinates the development and implementation of a patient care/treatment plan through use of diagnosis and clinical assessment of psychiatric, chemical dependency and psychosocial needs as they relate to medical and behavioral care needs. Provides disposition and discharge planning, risk assessment, case management, and coordination of services to provide continuity of care.
**What you will do:**
+ The Clinical Social Worker completes appropriate intake documentation, provides ongoing assessment, develops treatment plan in collaboration with the multi-disciplinary treatment team. The Clinical Social Worker also manages multiple complicated cases, maintains current knowledge of ever-changing community resources, monitors patient needs and progress, develops aftercare plans. Maintains documentation on patient throughout hospitalization.
+ Provides brief therapeutic interventions with patients and/or families, as well as community staffings, in coordination with the physician and treatment team. Works as in integral member of the treatment team in the provision of treatment and aftercare planning.
+ Ensures compliance with privacy and confidentiality laws. Interfaces regularly with legal entities to address treatment needs.
+ Assists with monitoring and evaluation of services provided for department quality improvement plan.
+ Maintains current understanding of issues related to culture, ethnicity, gender identity, age, sexual orientation, religion and utilizes appropriate communication skills.
+ Provides information, education and direction in response to community requests.
+ Regularly accesses pharmaceutical and community resources to provide patients with needed psychiatric medications.
+ Provides instruction, training and supervision for graduate level social work students. Also provides clinical supervision toward licensure for CSWA's. Must maintain current licensure through continuing education. Must uphold all ethics, rules and regulations required by the Clinical Board.
+ Diagnoses, assesses and addresses both mental health and chemical dependency conditions. Performs risk assessments for suicidality, homicidality and grave disability.
+ Provides instruction, training and supervision for graduate level social work students. Also provides clinical supervision toward licensure for CSWA's. Must maintain current licensure through continuing education. Must uphold all ethics, rules and regulations required by the Clinical Board.
+ Screen and identify patients who need care management per high-risk criteria.
+ Assess, develop, implement and monitor a comprehensive discharge plan of care through an interdisciplinary team process in conjunction with the patient and family. Collaborate with the multi-disciplinary team to identify problems or needs that require special planning, intervention, teaching or follow-up
**What you bring:**
+ Master's Degree Required: Social Work from an accredited graduate school of social work
+ 2 years Required: Clinical experience with designated population and
+ Preferred: Hospital, emergency room, chemical dependency, or community agency experience and
+ Preferred: Knowledge of community resources, knowledge of Medicare, Medicaid and insurance requirements as these relate to continuing care.
+ Required: Clinical Social Worker Required Credentials Must have LCSW, LICSW, LMSW, CSWA, SWAICO, SWAAL, SWAL status.
_For a full description of the position, or for questions, please contact Moussa Sangare at
PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility ( .
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
REQNUMBER:

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  

The Patient Care Coordinator  is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals.

Schedule:  This is a 40-hour work week, Monday through Friday, 7:30 am to -4:00pm PST.  The schedule will be determined by the supervisor upon hire.

Location:  1145 Broadway, third floor, Seattle, WA 98122

Primary Responsibilities:

• Obtain accurate and updated patient information, such as name, address, insurance information
• Perform insurance verification on the date of service
• Obtain patient signatures for required documents
• Upload a valid Government issued state ID of patient and patient insurance cards
• Accurate and complete occupational medicine registration workflow
• File and maintain medical records
• Perform referral documentation promptly
• First point of contact for our patients. Sets the tone for a positive experience
• Exhibits empathy, courtesy, competence, efficiency, and care
• Schedules appointments and procedures, following standard guidelines
• Uses Multiple computer and phone systems to fulfill patient needs over phone
• Verifies patient information, while documenting in their Electronic Health Record (EPIC)
• Advises patients of their responsibilities regarding insurance and referral information
• Provide effective communication to patient / family team members and other health care professionals as evidenced by documentation, case conferences, communication notes, and evaluations
• Notify clinical staff of schedule changes as they occur
• Comply with administrative policies to ensure quality of care
• Demonstrate precision and efficiency in scanning documents and monitoring the fax server, retrieving and / or scanning documents and assigning to the appropriate electronic chart
• Participate in orientation (scheduling segment) of new field employees and distribute updates and changes as needed
• Perform other related duties and assignments as required
• Organize and maintains medical records
• All employees are expected to keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements 
• Complete new clinical competencies rolled out by the Educational Committee
• Work Independently and Assist with Clinical duties on a limited basis
• Performs other duties as 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)
• 1+ years of experience working in a medical office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records
• Intermediate level of computer proficiency including MS Word, Excel and Outlook be able to use multiple web applications

Preferred Qualifications:

• Knowledge of medical terms
• Knowledge of Epic EMR software

Soft Skills:  

• Ability to work independently and maintain good judgment and accountability  

• Demonstrated ability to work well with health care providers  

• Strong organizational and time management skills  

• Ability to multi-task and prioritize tasks to meet all deadlines  

• Ability to work well under pressure in a fast-paced environment  

• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others  

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 (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.  

    

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.

   

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, 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.

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

#RPO #RED

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
The **Patient Care Coordinator** is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals.
**Schedule:** Monday - Friday, 7am-3:30pm PST
**Location:** 1812 South J Street STE #102, Tacoma, WA 98405
**Primary Responsibilities:**
+ Obtain accurate and updated patient information, such as name, address, insurance information
+ Perform insurance verification on the date of service
+ Obtain patient signatures for required documents
+ Upload a valid Government issued state ID of patient and patient insurance cards
+ Accurate and complete occupational medicine registration workflow
+ File and maintain medical records
+ Perform referral documentation promptly
+ First point of contact for our patients. Sets the tone for a positive experience
+ Exhibits empathy, courtesy, competence, efficiency, and care
+ Schedules appointments and procedures, following standard guidelines
+ Uses Multiple computer and phone systems to fulfill patient needs over phone
+ Verifies patient information, while documenting in their Electronic Health Record (EPIC)
+ Advises patients of their responsibilities regarding insurance and referral information
+ Provide effective communication to patient / family team members and other health care professionals as evidenced by documentation, case conferences, communication notes, and evaluations
+ Notify clinical staff of schedule changes as they occur
+ Comply with administrative policies to ensure quality of care
+ Demonstrate precision and efficiency in scanning documents and monitoring the fax server, retrieving and / or scanning documents and assigning to the appropriate electronic chart
+ Participate in orientation (scheduling segment) of new field employees and distribute updates and changes as needed
+ Perform other related duties and assignments as required
+ Organize and maintains medical records
+ All employees are expected to keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements
+ Complete new clinical competencies rolled out by the Educational Committee
+ Work Independently and Assist with Clinical duties on a limited basis
+ Performs other duties as 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: 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)
+ 1+ years of experience working in a medical office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records
+ Intermediate level of computer proficiency including MS Word, Excel and Outlook be able to use multiple web applications
**Preferred Qualifications:**
+ Knowledge of medical terms
+ Knowledge of Epic EMR software
**Soft Skills:**
+ Ability to work independently and maintain good judgment and accountability
+ Demonstrated ability to work well with health care providers
+ Strong organizational and time management skills
+ Ability to multi-task and prioritize tasks to meet all deadlines
+ Ability to work well under pressure in a fast-paced environment
+ Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
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 (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable
_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._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, 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._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
#RPO, #RED

JOB TITLE ( # 1284 ): Clinical Social Worker  Health Care Facility Surveyor - Washington

CMS’s Long-Term Care Basic Training and SMQT certification are required

Impact Recruiting Solutions is currently seeking a Clinical Social Worker Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.

Requirements of the Clinical Social Worker Health Care Facility Surveyor :

• Must have a Master's degree in Social Work
• Must have successfully completed CMS’s Long-Term Care Basic Training and passed the Surveyor Minimum Qualifications Test (SMQT).
• Must have at least two (2) years of recent experience working as a surveyor accrediting or certifying facilities that serve the residents of long-term care facilities.
• Must maintain current licensure to practice as an LCSW
• Demonstrated history of independent decision-making skills to direct and effectively manage the survey process.
• Ability to set priorities independently and collectively in performing survey tasks.
• Ability to openly discuss conflicts/controversy, and to seek assistance when appropriate to make decisions and resolve conflicts.
• U.S. Citizenship is required for this position
• Ability to travel up to 75% of the time on a regular basis is required

Benefits of the Clinical Social Worker Health Care Facility Surveyor :

• The salary for this position is $72,000 - $80,000 / yr
• This is a Full-time position (Monday - Friday)
• Flexible paid vacation days
• Paid holidays
• Company-issued and company-paid Amex card for travel
• All travel expenses paid directly by the company
• Airline and hotel points accumulate for employee's personal use
• Employee discounts
• Employee retirement plan (401k) with a generous match and immediate vesting
• Company-paid tax-free Health Savings Account (HSA)
• Health insurance
• Dental insurance
• Vision insurance
• Company-paid life insurance
• Company-paid disability insurance
• Extensive training opportunity
• Predictable work schedule

If you would like to learn more about other opportunities we offer, please call our office: or submit your Resume/CV to

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  

The Senior Patient Care Coordinator  is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals. Provides float support for 6 surgeons, including front and back-office duties, as needed.

Schedule:  Monday through Friday, 8:30am-5pm or 8am-4:30pm PST

Location:  1229 Madison Street, Suite 1600, Seattle, WA 98104

Primary Responsibilities:

• Provide front and back-office support in a float Patient Care Coordinator/Scheduler role
• Answers all phone calls from 3 phone queues (scheduling, high priority, and overflow)
• Provide high level of customer service while communicating with internal departments and external provider office staff as pertains to performance of job duties
• Review and process prior authorization requests to meet departmental key indicator productivity
• Verifies patient insurance eligibility & benefits to include applicable co-pays, co-insurances, deductibles, Out of Pocket Maximum, appropriate service facilities, services covered and which services if any require prior authorization
• Intakes all demographic information for new patients
• Updates demographic information for existing patients
• Collects insurance information 
• Requests medical records from the PCP/hospitals/referring physician for new patients
• Schedules/Reschedules/Cancels patient's appointments for multi-location multi-providers for an Internal Medicine practice
• Routes calls throughout the office to the appropriate department
• Submit Specialists Referrals with appropriate clinical information using established protocols & procedures
• Resolve customer service inquiries which could include Benefit and Eligibility information, Authorization for treatment, Specialists Orders/Referrals
• Relays messages from patients/specialist/pharmacies to the appropriate individual
• Willing to work with others as well as an individual to meet company goals
• Handle 90+ incoming calls daily
• Accepting all incoming HMO and FFS referrals 100+ daily via portals, faxes, messages
• Handle all hospital face sheets/service messages/voicemails/faxes/direct messages and add-ons
• Exceed attendance standards set by company policy
• Responsible for contacting patient leads for cosmetic consultations
• Monitoring workflow
• Training new hires
• Creating and managing team schedules
• Assist with onboarding new employees
• Ability to support all staff and leadership in their roles
• Ability to de-escalate and resolve patient complaints
• Any other duties that may arise

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)

• 3+ years of customer service experience

• 1+ years of experience working in a medical office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records

• Basic level of computer proficiency and be able to work on multiple websites

  Preferred Qualifications:

• 1+ years of direct-to-consumer sales experience 

• EPIC experience

• Prior authorization experience

• Surgery scheduling experience

Soft Skills:  

• Ability to work independently and maintain good judgment and accountability  

• Demonstrated ability to work well with health care providers  

• Strong organizational and time management skills  

• Ability to multi-task and prioritize tasks to meet all deadlines  

• Ability to work well under pressure in a fast-paced environment  

• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

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 (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.  

    

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.

   

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, 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.

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

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