Job: Case Manager LPN - Lisle, IL

This posting has expired and is no longer available.

Jobing Description

Position Description:

Outreach to facility and/or consumer. Must have good interpersonal and communication skills. When you are in the business of health care, you're in the business of people. At UnitedHealth Group we want every customer experience to be distinctly personal. The challenge is complex. When people call us for help, their focus is on getting the best care possible. We help them understand their benefits and their options. This part of their lives matters a lot to them and it matters just as much to us. Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.

Primary Responsibilities:

• Respond to incoming provider and enrollee calls


• Monitoring requests for and receipt of clinical information, and entering this information into the system.


• May assist in the processing of new referrals.


• Updating systems with appropriate authorization.


• Resolve customer related inquiries which could include: working with Providers status of an existing notification and determining if notification is required.


• ICD-9 and CPT coding


• Provide excellent customer service to both providers and enrollees


• Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.


• Assist with faxes and emails

OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.

Skills / Requirements

Requirements:

• HS Diploma/GED required.


• Completion of an LPN program and valid state licensure required.


• NICU or pediatric experience preferred.


• Managed care or insurance experience preferred.


• Previous hospital or physician office experience preferred.


• Experience in an office setting using a telephone and computer preferred.


• Available to work 40 hours per week anytime within the operating hours of the site


• Prior stable work experience


• Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system application and apply their use for phone and off phone


• Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product


• Ability to remain focused and productive each day though tasks may be repetitive

Physical Requirements and Work Environment:

• Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods of close vision looking at a computer monitor

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.