The #1 Site for Internships and Entry Level Jobs - search all Internships and Entry Level jobs.

HSS Clinical Coordinator - Telecommute Lexington, Richmond , KY

Job Description

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)


You push yourself to reach higher and go further. Because for you, it’s all about ensuring a positive outcome for patients. In this role, you’ll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you’ll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.


In this Care Manager - Community Based role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.


If you are located in or near Lexington, KY, you will have the flexibility to telecommute* as you take on some tough challenges. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You’ll need to be flexible, adaptable and, above all, patient in all types of situations.


Primary Responsibilities:

  • Assess, plan and implement care management interventions that are individualized for each patient and directed toward the most appropriate, least restrictive level of care

  • Identify and initiate referrals for both healthcare and community-based services; including but not limited to financial, psychosocial, community and state supportive services

  • Develop and implement care plan interventions throughout the continuum of care as a single point of contact

  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members

  • Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team


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:

  • Registered Nurse (unrestricted KY license)

  • 4+ years of experience working within the community health setting in a health care

  • 2+ years of experience providing community-based care management to members receiving long-term care, personal care services, private duty nursing, or home health

  • Ability to travel in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals or providers' offices

  • Strong computer skills including EHR documentation, MS Office, etc.

  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role

  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained


Preferred Qualifications:

  • CCM

  • BSN or health care related degree

  • Experience in managing populations with complex medical or behavioral needs

  • Experience working with Home Care Based Services

  • Experience working with patients/members in community and home-based settings

  • Experience with discharge planning

  • Experience with utilization review, concurrent review and/or risk management

  • Experience with arranging community resources

  • Case Management experience

  • Prior field-based work experience


Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)


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


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: Community Health Setting, Registered Nurse, Nurse, RN, Long-Term Care, Personal Care Services, Private Duty Nursing, Home Health, Home Care, Field Case Manager, Field, Community Care, Care Manager, Case Manager, Medicaid Members, Community Centers, Hospitals, Providers' Offices, Psychosocial, Integrated Care Model, Managed Care, Advocate, Louisville, Kentucky, KY

Job Requirements

 

Job Snapshot

Location US-KY-Lexington
Employment Type Full-Time Employee
Pay Type Year
Pay Rate N/A
Store Type Other
Apply

Company Overview

UnitedHealth Group

Careers at UnitedHealth Group. We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these select few, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. Learn More

Contact Information

US-KY-Lexington
Snapshot
UnitedHealth Group
Company:
US-KY-Lexington
Location:
Full-Time Employee
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Other
Store Type:

Job Description

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)


You push yourself to reach higher and go further. Because for you, it’s all about ensuring a positive outcome for patients. In this role, you’ll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you’ll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.


In this Care Manager - Community Based role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.


If you are located in or near Lexington, KY, you will have the flexibility to telecommute* as you take on some tough challenges. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You’ll need to be flexible, adaptable and, above all, patient in all types of situations.


Primary Responsibilities:

  • Assess, plan and implement care management interventions that are individualized for each patient and directed toward the most appropriate, least restrictive level of care

  • Identify and initiate referrals for both healthcare and community-based services; including but not limited to financial, psychosocial, community and state supportive services

  • Develop and implement care plan interventions throughout the continuum of care as a single point of contact

  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members

  • Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team


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:

  • Registered Nurse (unrestricted KY license)

  • 4+ years of experience working within the community health setting in a health care

  • 2+ years of experience providing community-based care management to members receiving long-term care, personal care services, private duty nursing, or home health

  • Ability to travel in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals or providers' offices

  • Strong computer skills including EHR documentation, MS Office, etc.

  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role

  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained


Preferred Qualifications:

  • CCM

  • BSN or health care related degree

  • Experience in managing populations with complex medical or behavioral needs

  • Experience working with Home Care Based Services

  • Experience working with patients/members in community and home-based settings

  • Experience with discharge planning

  • Experience with utilization review, concurrent review and/or risk management

  • Experience with arranging community resources

  • Case Management experience

  • Prior field-based work experience


Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)


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


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: Community Health Setting, Registered Nurse, Nurse, RN, Long-Term Care, Personal Care Services, Private Duty Nursing, Home Health, Home Care, Field Case Manager, Field, Community Care, Care Manager, Case Manager, Medicaid Members, Community Centers, Hospitals, Providers' Offices, Psychosocial, Integrated Care Model, Managed Care, Advocate, Louisville, Kentucky, KY

Job Requirements

 
CareerRookie Advice

For your privacy and protection, when applying to a job online: Never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction.Learn More

By applying to a job using careerrookie.com you are agreeing to comply with and be subject to the workinretail.com Terms and Conditions for use of our website. To use our website, you must agree with theTerms & Conditionsand both meet and comply with their provisions.
HSS Clinical Coordinator - Telecommute Lexington, Richmond , KY Apply now