Field Clinical Practice Performance Specialist - Omaha, Nebraska
Optum
Omaha, NE
2 days ago
$23.70 - $46.35
Job Description
Join Optum as a Field Clinical Practice Performance Specialist to make a significant impact on health outcomes by coordinating care, enhancing clinical quality, and supporting members' wellness. This field-based role involves collaboration with physician practices and offers the flexibility of telecommuting for Nebraska residents.
Key Responsibilities
Provide care coordination through physician practices
Conduct telephonic member needs assessments
Interact with members via telephone to schedule appointments and follow up
Review member charts prior to physician appointments
Partner with practice's administrative and clinical staff
Create and maintain supportive relationships with members and providers
Facilitate appropriate member referrals
Assist members in accessing community resources
Collaborate with interdisciplinary delivery team
Provide education on health care needs
Facilitate member compliance with appointments and screenings
Identify barriers for compliance and communicate with members and providers
Document member conversations and activities
Maintain focus on high-quality customer service
Maintain confidentiality of sensitive information
Required Qualifications
High School Diploma/GED or higher
2+ years of experience in hospital, acute care, or healthcare
2+ years of customer service/call center experience
Intermediate computer/typing proficiency
Ability to travel to provider offices within service area
Access to reliable transportation and valid US driver's license
Preferred Qualifications
Associates degree or higher
Problem solving skills
Experience with HEDIS and EMR
Experience navigating and analyzing reports in Microsoft Excel
Medicaid, Medicare, Managed Care experience
Prior Physician office experience
Experience with needs of vulnerable populations
Call Center experience
Excellent verbal and written communication skills
Ability to empathize with customers
Demonstrated ability to take responsibility and accomplish goals
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution