Case Manager - Long Term Services - Field Work in Conejos, Costilla, and Surrounding Counties - CO

UnitedHealth Group • Alamosa, CO

78d • $23 - $41

About The Position

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Position in this function supports corporate objectives by utilizing a demonstrated competency of Long-Term Services and Supports (LTSS) to provide Case Management. Participates in case conferences with the Supervisor. Expect to spend about 75% of your time in assigned your territory visiting our members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Target territory would be one of the following Colorado counties: Conejos, Costilla, and surrounding Counties.

Requirements

• Bachelor's degree in one of the human behavioral science fields such as human services nursing, social work, psychology, public health.
• 5+ years of relevant experience in social work field.
• Combination of education and experience.
• 1+ years of experience with MS Office, including Word, Excel, and Outlook.
• Reliable transportation and the ability to travel up to 75% within assigned territory to meet with members and providers.
• Reside or willing to travel to Conejos, Costilla, and surrounding Counties.

Nice To Haves

• Experience as a caseworker or case manager with LTSS population, in a private or public social services agency may substitute for the required education on a year for year basis.

Responsibilities

• Intake/screening/referral, assessment/reassessment, development of support plans, on-going case management, monitoring of the Member's health and welfare, documentation of contacts and case management activities in the Department-prescribed system, resource development, and case closure.
• Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees.
• Conduct monitoring contacts as prescribed by the Department.
• Contact the Member at least once within each quarterly period or more frequently as warranted by the Member's condition.
• Conduct face-to-face contact with the Member's at least every six months or more frequently if warranted by the Member's condition.
• Update the current approved assessment tool and care or support plan in the appropriate documentation system(s) to reflect any changes in condition or services.
• Complete a new assessment during a face-to-face reassessment annually or more frequently if warranted by the Member's condition.
• Monitor the delivery of services and supports identified within the Support Plan and the Prior Authorization Request (PAR).
• Attend Department provided training for CMA agencies as well as agency provided in-service and staff development training.
• Responsible to conduct Work that is in accordance with the CMA Contract Agreement's requirements.
• In the event of suspected mistreatment, abuse, neglect, or exploitation, refer the individual to protective services or local law enforcement.
• May take on special assignments and projects on an as needed basis.
• Assist with system assessment and development as needed.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution.

What This Job Offers

• Job Type: Full-time
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree