Case Manager -LTSS- Mesa County, Colorado
About The Position
This position supports corporate objectives by applying knowledge of Long Term Services and Supports (LTSS) to provide case management. The Case Manager participates in case conferences with the Supervisor and spends about 50% of their time visiting members in their homes or long-term care facilities within the assigned territory. The role requires flexibility, adaptability, and patience. Candidates must reside locally to Mesa County, Colorado. The position may be performed remotely from within Colorado, with regular territory travel required. The Case Manager coordinates member intake, assessment, support planning, ongoing case management, monitoring, documentation, resource development, and case closure. The role includes scheduled member contacts and assessments, monitoring service delivery, maintaining confidentiality, attending training, and completing work accurately, promptly, and completely under the CMA Contract Agreement. Suspected mistreatment, abuse, neglect, exploitation, or harmful acts must be referred immediately to the appropriate county protective services section and/or local law enforcement. The position requires reliable, independent, flexible, on-demand transportation at the employee’s expense for travel between locations. If driving, the employee must meet Colorado licensure and company liability-insurance requirements. Special assignments and projects may be assigned as needed. Remote employees must comply with UnitedHealth Group’s Telecommuter Policy.
Requirements
- Bachelor’s degree in a human behavioral science field such as human services, social work, psychology, or public health; or 5+ years of relevant LTSS experience; or a combination of education and experience.
- At least 1 year of experience with MS Office, including Word, Excel, and Outlook.
- Access to reliable transportation and ability to travel up to 50% within the assigned territory to meet with members and providers.
- Reside locally to Mesa County, Colorado.
- If driving to meet the transportation requirement, meet Colorado licensure requirements and company requirements for liability insurance coverage.
- Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
Nice To Haves
- Experience as a caseworker or case manager serving the LTSS population in a private or public social services agency; this experience may substitute for required education on a year-for-year basis.
Responsibilities
- Conduct intake, screening, referrals, assessments and reassessments, support-plan development, ongoing case management, health and welfare monitoring, documentation, resource development, and case closure.
- Maintain confidentiality of patient and member information in accordance with the UHG Employee Handbook and applicable requirements.
- Conduct monitoring contacts at least once during each quarterly period, or more frequently as warranted by the member’s condition or program rules.
- Conduct face-to-face contact with members at least every six months, or more frequently when warranted or required, and update assessments and care or support plans to reflect changes in condition or services.
- Complete an annual face-to-face reassessment with a new assessment, or do so more frequently when warranted or required; complete additional assessments as needed or required.
- Monitor delivery of services and supports specified in the Support Plan and Prior Authorization Request (PAR).
- Attend Department-provided training for CMA agencies and agency in-service and staff development training.
- Perform work accurately, timely, and completely in accordance with the CMA Contract Agreement.
- Immediately refer suspected mistreatment, abuse, neglect, exploitation, or harmful acts to the protective services section of the member’s county department of social services and/or local law enforcement.
- Travel within the assigned territory to visit members and providers, including homes and long-term care facilities.
- Take on special assignments and projects as needed and assist with system assessment and development as needed.
- Participate in case conferences with the Supervisor.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401(k) contribution, subject to eligibility requirements.
- Development opportunities for other roles.
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What This Job Offers
Job Type
Full-time
