[Hiring] Telephonic HSS Coordinator @UnitedHealth Group

Role Description The Telephonic Care Coordinator is responsible for facilitating, promoting and advocating for the enrollees’ ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients (Community Well/Emerging High-Risk Population). The care coordinator will manage the care of members in their homes or other community settings by completing telephonic health assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent.

• Engaging members / families telephonically to coordinate services, community resources and treatment needs
• Delivering a holistic approach to coordinated care based on the member’s needs using a person centered philosophy
• Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file
• Creating, reviewing and revising care plans and focusing on a holistic approach
• Functioning as an advocate for member
• Collaborating with the member's PCP to deliver and coordinate necessary services
• Building relationships with members and their families; assisting them with coordination of health choices
• Ensuring cases are documented in a timely manner
• Coordination with other state agencies, community resources and providers
• Act as the primary point of contact for Members and the Interdisciplinary Care Team (ICT)

Qualifications

• LPN, Bachelor's Degree in Social Work, Public Health or other related health fields
• 2+ years of recent experience in case management, home care, long term care and/or experience in acute or rehab care setting
• 1+ years of experience directly working with individuals with complex medical or behavioral needs
• Solid computer proficiency (Microsoft Word, Outlook and Internet)
• Driver’s License and access to reliable transportation
• Reside within the state of VA

Requirements

• Experience with Medicare and / or Medicaid
• Experience with complex populations
• Telephonic / Call Center experience
• Managed Care / Case Management experience

Benefits

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
• 401k contribution (all benefits are subject to eligibility requirements)

The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Apply tot his job Apply To this Job