Care Advocate Supervisor - Remote

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.

This position is primarily responsible for managing the Care Advocate. This position supervises, plans, coordinates, and directs staff performances of administrative and clerical duties in support of our patients. The Care Advocate Supervisor is also responsible for training within the Care Advocate role and preparation of a variety of reports and projects as assigned by their manager.

The Care Advocate Supervisor fills in for the Care Advocates in their absence and is an escalation point for customer service questions and concerns. This position will be responsible for ensuring Care Advocates complete duties in compliance with CMS and NCQA, and Health plan requirements for all Care Management programs.

You'll enjoy the flexibility to work remotely * from Texas as you take on some tough challenges.

Primary Responsibilities:

• Plans, organizes, directs and controls activities of the Care Advocate
• Monitors the Care Advocate workload and department coverage
• Monitors quality in the department and coordinates with Care Advocates on quality initiatives and expectations
• Resolves patient's inquiries, complaints or concerns regarding interactions with the staff and escalates to managers as appropriate
• Runs necessary reports for the department to complete their daily responsibilities
• Ensures effective and efficient customer communication and support
• Creates clearly defined expectations, procedures, goals and incentives for each individual within the department
• Provides training support to new and existing Care Advocate staff
• Supports staffing initiatives by screening, interviewing and selecting new employees for current job vacancies
• Identifies and resolves problems and inconsistencies within the systems and identifies appropriate corrective procedures
• Provides a superior patient experience by providing exceptional customer service
• Communicates clearly and effectively both in person and on the phone to a variety of audiences including patients, care providers, physicians, pharmacists and other staff
• Manages outgoing and incoming calls to/from patients and physician offices
• Maintains current knowledge of health plan benefits and provider network including inclusions and exclusions in contract terms
• Accurately inputs necessary data to keep patient's records up to date
• Confers with physicians, nurses, and other health personnel to provide complete, current, and accurate documentation
• Analyzes and review data for completeness and accuracy of documentation according to CMS and NCQA standards
• Other 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 or GED
• 5+ years of experience in a physician's office, clinical or hospital setting
• 1+ years of supervisory experience
• Experience related to patient education and/or motivational interviewing skills and self-management goal setting
• Experience working with psychiatric and geriatric patient populations

Preferred Qualifications:

• 2+ years working with the Medicare Special Needs Population and/or Care Management Department
• Bilingual (English/Spanish) language proficiency
• Proficient computer skills, including Microsoft Word, Excel, Access and Outlook
• Excellent verbal and written skills
• Ability to interact effectively with individuals and with multidisciplinary teams
• Excellent organizational and prioritization skills
• Good business acumen, especially as it relates to Medicare and Medicaid

Physical & Mental Requirements:

• Ability to lift up to 25 pounds
• Ability to push or pull heavy objects using up to 25 pounds of force
• Ability to sit for extended periods of time
• Ability to stand for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The salary range for this role is $49,300 to $96,400 annually 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.

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.