POSITION DESCRIPTION

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 local communities throughout the state of Texas. 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 Health & Social Services Coordinator 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 Montague, Cooke or Grayson county in Texas, you will have the flexibility to work from home and travel throughout the area meeting and supporting community partners and patients. Travel will be day travel, up to 75% of the time.

PRIMARY RESPONSIBILITIES:

• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
• Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
• Manage the care plan 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
• Make outbound calls and receive inbound calls to assess members' current health status
• Identify gaps or barriers in treatment plans

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:

• Active LVN or RN license in the state of Texas
• 2+ years of experience working within a health care role; preferably in long-term care, home health, hospice, public health, pediatrics, community health, or assisted living
• Ability to travel to assigned areas within the state of Texas to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices
• Beginner or higher level of experience with MS Word, Excel and Outlook

PREFERRED QUALIFICATIONS:

• Bachelor's Degree
• Experience managing populations with complex medical or behavioral needs
• Experience with Case Management or Certified Case Manager (CCM)
• Experience documenting in an electronic documentation system
• Experience in utilization review, concurrent review or risk management
• Experience with arranging community resources
• Excellent communication skills, strong organizational skills, outgoing personality, ability to be flexible, quick learner, and independent worker anxious to get things done

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: Clinical, LVN, RN , CCM, Medicaid Waver, Medicaid, MDCP, pediatrics, field based, home care, home health, complex case management, managed care, mental health, behavioral health, case management, case manager, home and community based services, long-term care, LTC, hospice, public health, assisted living, Medicare, Medicaid, Waiver, healthcare, managed care, field-based, Cooke County, Grayson County, Montague County, Texas, TX, telecommute, telecommuter, telecommuting, remote, UHG, UnitedHealth Group, UHC, UnitedHealth Care, Community and State

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.