Case Manager LTSS - Field Work in San Luis Valley, CO

UnitedHealth Group

5d • $23 - $42 • Remote

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 optimized. 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 and participate in case conferences. Expect to spend about 75%25 of your time visiting 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 the following Colorado counties: Alamosa, Mineral, Rio Grande, Saguache, Costilla, and/or Conejos If you are located in San Luis Valley, CO, you will have the flexibility to work remotely as you take on some tough challenges. 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.

Requirements

• Meet one of the following:
• A bachelor’s degree; or
• 5+ years of relevant experience in the field of Long-Term Services and Supports, which includes Developmental Disabilities; or
• Some combination of education and relevant experience appropriate to the requirements of the position
• Relevant experience is defined as:
• Experience in one or more of the following areas: long-term services and supports, gerontology, physical rehabilitation, disability services, children with special health care needs, behavioral science, special education, public health or nonprofit administration, or health/medical services, including working directly with persons with physical, intellectual or Developmental Disabilities, mental illness, or other vulnerable populations
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Reliable transportation and the ability to travel within assigned territory to meet with members and providers
• Reside or willing to travel to Alamosa, Mineral, Rio Grande, Saguache, Costilla, and/or Conejos

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 confidence as described in the UHG Employee Handbook and acknowledged through signature by all employees. Maintain confidentiality of patient information. The ability to maintain confidentiality is a critical and essential component of this position
• 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 /or as determined by the rules of the LTSS Program in which the Member is enrolled
• Conduct face-to-face contact with Members at least every six months or more frequently if warranted by the Member’s condition or the rules of the LTSS Program in which the Member is enrolled. 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 or if required by the rules of the LTSS Program in which the Member is enrolled. Complete additional assessments as needed/required
• 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
• Conducting work that is in accordance with the CMA Contract Agreement’s requirements. This includes but is not limited to providing work that is accurate, timely, and complete
• In the event, at any time throughout the case management process, the case manager suspects an individual to be a victim of mistreatment, abuse, neglect, exploitation or a harmful act, the case manager shall immediately refer the individual to the protective services section of the county department of social services of the individual's county of residence and/or the local law enforcement agency
• May take on special assignments and projects on an as needed basis. Assist with system assessment and development as needed
• This position requires travel. Requires independent, reliable, flexible, and on-demand, transportation for travel between various locations and timely arrival and departure from various locations. The employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage

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).
• No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees