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

UnitedHealth Group•Lexington, KY

19h•$35 - $63•Hybrid

About The Position

Optum Home & Community Care Delivery, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere. As a team member of our Optum Care at Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home. We’re connecting care to create a seamless health journey for patients across care settings. 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
Dedicated, distraction-free space in home for home office
Access to high-speed internet from home (Broadband Cable, DSL, Fiber)
Ability to manipulate laptop computer (or similar hardware) between office and site settings
Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time
Ability to communicate with clients and team members including use of cellular phone or comparable communication device
Ability to remain stationary for extended time periods (1 – 2 hours)
Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85%25 of the time

Nice To Haves

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