Care Coordinator, Onsite--Hunstville, TX (Hybrid--RN/PT/OT/ST)
About The Position
Optum Home & Community Care Delivery, part of the Optum family of businesses, is creating something new in health care. They 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 member of Care Transitions, they combine the talents of their dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. The Onsite Care Coordinator 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 in state of hire – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist
- 5+ years of clinical experience
- Candidate hired will support specific location(s) for on-site facility needs within 40-mile maximum radius of home location based on manager discretion
- Reside within or near the county listed in the job description
- 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
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
- Perform other duties and responsibilities as required, assigned, or requested
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
