Care Coordinator, Onsite - Bowling Green, KY (Hybrid - RN/PT/OT/ST)

UnitedHealth Group • Bowling Green, KY

2d • Hybrid

About The Position

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
The Care Coordinator, Onsite plays an integral role in optimizing patients’ recovery journeys. The Care Coordinator completes weekly functional assessments and engages the post-acute care (PAC) inter-disciplinary care team to coordinate discharge planning to support the members PAC journey. The position engages patients and families to share information and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the Care Coordinator is responsible for ensuring efficient, smooth, and prompt transitions of care.

Requirements

• Active, unrestricted registered clinical license required in state of hire - Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist
• Candidate hired will support specific location(s) for on-site facility needs within 30-mile maximum radius of home location based on manager discretion
• You must reside within or near the county listed on the job description
• 5+ years of clinical experience
• Driver’s License and access to a reliable transportation

Nice To Haves

• Patient education background, rehabilitation, and/or home health nursing experience
• Experience working with the geriatric population
• Experience working with the geriatric population
• Familiarity with care management, utilization/resource management processes and disease management programs
• Proficient with Microsoft Office applications including Outlook, Excel and PowerPoint
• Proven to be detail-oriented
• Proven to be a team player
• Proven to be independent problem identification/resolution and decision-making skills
• Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously
• Proven exceptional verbal and written interpersonal and communication skills
• Proven solid problem solving, conflict resolution, and negotiating skills

Responsibilities

• By serving as the link between patients and the appropriate health care personnel, the Care Coordinator is responsible for ensuring efficient, smooth, and prompt transitions of care
• Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. Collaborate effectively on discharge goals and assist in resolving barriers
• Collaborate effectively with members health care teams with individualized communication and participation in interdisciplinary team meetings
• Review target outcomes and discharge plans with providers and families
• Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays
• Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to CMS criteria
• Complete all SNF continued stay reviews, updating authorizations on a timely basis
• When Care Transitions is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forwarded to licensed physicians for review and issuance of the NOMNC when appropriate
• Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business
• Manage assigned caseload efficiently and effectively utilizing time management skills
• Enter timely and accurate documentation into Coordinate
• Adhere to organizational and departmental policies and procedures
• Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws
• Hold patients’ protected health information confidential as required by applicable laws, regulations, or agency/institution procedures
• Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits)
• Adhere to all local, state, and federal regulatory policies and procedures
• Attend H&C Transitions meetings as requested
• Promote a positive attitude and work environment
• Perform other duties and responsibilities as required, assigned, or requested

Benefits

• In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed