UnitedHealth Group

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Case Management Assistant, Applecare Medical - La Palma, CA - 727035

at UnitedHealth Group

Job Description

Position Description

AppleCare Medical Management Group was incorporated in 2003. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board - certified private - practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communities.
As a part of our continued growth, we are searching a new Case Management Assistant to join our team
***Bilingual Spanish Speaking Preferred***

Primary Responsibilities:
  • Authorizes selected services per explicit criteria and guidelines
  • Collects data for clinical review and submits data to licensed clinical services staff for decision - making
  • Performs outbound patient calls per clinical pathway
  • Facilitates patient’s appointments as directed by the case manager
  • Manages a case load of 100 - 150 low acuity patients that are identified for population management by the case manager
  • Provides feedback to Clinical Services Supervisor regarding process improvement
  • Performs data entry


To be considered for this position, applicants need to meet the qualifications listed in this posting.
Required Qualifications:
  • HS Diploma or GED
  • 2+ years of medical assistant or clinical / healthcare administrative experience
  • Able to create, edit, save and send documents utilizing Microsoft Word and Excel
  • Able to navigate a PC to open applications, send emails, and conduct data entry


Preferred Qualifications:

  • Graduate from an accredited Medical Assistant program (MA diploma)
  • Experience working within the Healthcare Industry and healthcare insurance
  • Experience working in a Hospital, Physician's Office, or Medical Clinical setting
  • Experience working with Medicare and / or Medicaid Services
  • 1 year knowledge of UM / QM processes and principles
  • Knowledge of general IPA operations
  • Computer literate in Microsoft Word and Excel
  • Knowledge of medical terminology
  • Strong ability to work effectively with nurses, physicians and other clinical and operational staff, both written and verbally
  • Bilingual Spanish preferred
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Case Management Assistants who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high - quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work.(sm)

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

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.



Job Keywords: Case Management Assistant, La Palma, CA, California

Application Instructions

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