Care Navigator - Remote in New York and New Jersey Job at UnitedHealth Group

UnitedHealth Group New York, NY 10012

$ 1,000 Sign-On Bonus for External Candidates


If you are located within New York and New Jersey, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.



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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.SM


Our Care Navigators have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.


This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:00am – 5:30pm EST. It may be necessary, given the business need, to work occasional overtime.



  • All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


Primary Responsibilities:


  • Completes telephonic outreach to DSNP members utilizing auto dialer and manual dialing

  • Educates member on gaps in care and assists with scheduling provider appointments

  • Assists members with social determinants of health and links to community resources

  • Ensures member has access to PCP

  • Identifies gaps in care and assists in closure of gaps

  • Outreaches members on caseload consistent with program guidelines

  • Consistently meets metrics, both quality & performance

  • Provides excellent customer service to both members and providers

  • Constantly maintains schedule adherence and good attendance

  • Maintains confidential health information according to state and federal regulations including HIPAA.


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 analyzing and solving customer problems
  • 1+ years of call center and / or telephonic customer service experience

  • 1+ years of Healthcare / insurance experience and/or Social work/community outreach/advocacy experience

  • 1+ years of professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties

  • Ability to work from home

  • Ability to work Monday – Friday 9:00am-5:30pm local time

  • Work experience using Microsoft Word (edit, create & save documents), Microsoft Excel (sorting & filtering data), and Microsoft Outlook (email, folders, attachments, and calendaring)


Preferred Qualifications:


  • Bachelor’s Degree (or higher) in Social Work, Public Health, or related field

  • Previous experience as a telecommuter

  • Medicaid and / or Medicare experience

  • Experience working with medical terminology

  • Bilingual English and Spanish or other language


Telecommuting Requirements:


  • Reside within New York and New Jersey

  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy

  • Ability to keep all company sensitive documents secure (if applicable)

  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service


Soft Skills:



  • Telephone etiquette

  • Excellent Organizational Skills

  • Must be comfortable making outreach to members without prior engagement

  • Must be able and comfortable with maintaining metrics and goals within the department

  • Must be comfortable working on the phone and multiple systems on the computer simultaneously while assisting members


Careers with Optum
. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged, and high-performing teams to help solve important challenges.


New York City Residents Only:
The salary range for New York City residents is $18.80 - $36.78. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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


**PLEASE NOTE** The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.


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: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, 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.


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


#RPO #YELLOW




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