Patient Navigator - Remote Nationwide

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York, Crystal Run Healthcare and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey, and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.

The Patient Navigator ensures a seamless onboarding experience for new members, supports accurate attribution, and facilitates early engagement—for the Managed Medicare Risk Members. This role bridges the gap between enrollment, data systems (like Epic), and member outreach.

Schedule: This is a 40-hour work week to be determined by the supervisor. Monday through Friday between the hours of 8:00 am to 5:00 pm EST

Location: Remote nationwide

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

• Initiate contact with new members via welcome calls, emails (can utilize Task Tracker for email/text contact), or messages
• Provide an overview of available services, benefits, and how to access care or support. Establish PCP and/or care team
• Serve as a friendly, knowledgeable point of contact during the first 30 days
• Start with RME (Roster Management Engine) or A.N.A to identify new members
• Load member data into Epic and ensure accurate attribution to the correct provider or care team within that organization
• If member is determined as transferred or seeing other PCP (attribution correction needed). Submit and follow-up (report) for membership
• Tag new members in Epic using appropriate flags or labels (e.g., “New Member,” “Needs Outreach”)
• Route members into the New Risk Member Work queue for timely connection calls and follow-up
• Collaborate with care coordinators or outreach teams to ensure members are contacted within defined timeframes
• Conduct follow-up calls to assess member needs, answer questions, and encourage engagement
• Document interactions and outcomes in Epic for care team visibility
• Escalate complex needs to care management teams as appropriate
• Confirm payer information and assist with any issues related to coverage or eligibility
• Monitor and follow up on membership status, renewals, or lapses
• Coordinate with billing or member services for resolution of payment-related concerns
• Other duties may be 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: http://uhg.hr/uhgbenefits
  
  

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)
• 2+ years of experience analyzing and solving customer problems
• 2+ years of experience working in the healthcare industry
• Intermediate level of computer proficiency (multi-tasking through multiple applications including Microsoft Outlook, Excel, and Word)
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
  
  

Preferred Qualifications

• Experience working with an electronic health record (EPIC)
• Experience working with health care insurance
• Experience in a hospital, physician's office or medical clinic setting
• Experience working with Medicare and/or Medicaid Services
• Clerical or administrative support background or experience working in a call center environment
• Knowledge of Medical terms
• Knowledge of insurance carriers and managed care plans
  
  

Soft Skills

• Ability to work independently and maintain good judgment and accountability
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• 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
• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
  
  

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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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 #GREEN