UnitedHealthcare · 18 hours ago
Secondary Review Clinical Administrative Coordinator - Remote in Kansas
United States
Full-time
Remote
Entry Level
$17.98/hr - $32.12/hr
2+ years expUnitedHealthcare is focused on simplifying the health care experience and creating healthier communities. The Clinical Administrative Coordinator will support the Secondary Review Team by ensuring timely processing and documentation of reviews, while also tracking reporting elements for analysis. This role involves collaboration with care coordination staff and adherence to compliance regulations.
FitnessHealth CareWellness
Responsibilities
Assist in maintaining 100% adherence to state contract, CMS requirements, and Product & Program Requirements
Monitor the timely receipt of state assessments received from Service Coordinators while demonstrating compliance to ensure that all internal and state deadlines are met
Act as an advocate for our membership and establish effective working relationships with our Service Coordinators and Secondary Review RN's ensuring all federal, state and company regulations, policies, and expectations are followed
Document saving and uploading in electronic records
Providing essential administrative support to the Secondary Review Team through spirit of collaboration to ensure efficiency in all administrative areas
Track work in SharePoint or other forms
Assign cases for review to the Secondary Review RN and Medical Director
Track progress of the case throughout the process
Document timely completion of cases and notification letters
Identify and champion opportunities and support colleagues in the pursuit of increasing Quality, Accuracy, Value, Affordability, and Timeliness
Qualification
Required
High School Diploma/GED (or higher)
2+ years of Clerical or Administrative work experience
2+ years of experience using the telephone and computer as primary instruments to perform job duties
Intermediate level of proficiency with Microsoft Office applications (SharePoint, Excel, Word, Teams and Outlook)
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Reside in a location that can receive a high-speed internet connection (additional information on UnitedHealth Group approved internet providers and restrictions will be provided)
Preferred
Medicare and/or Medicaid experience
Organization and critical thinking skills
All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
A comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
UnitedHealthcare
UnitedHealthcare helps people live healthier lives by simplifying the health care experience.
10001+ employees
H1B Sponsorship
UnitedHealthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (48)
2024 (26)
2023 (45)
2022 (61)
2021 (60)
2020 (68)
Funding
Current Stage
Late StageLeadership Team
Beth Soberg
CEO West Region, Local Markets
Bobby Gregoire
Medicare Health Plan CEO, Iowa & South Dakota
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