HSS Clinical Coordinator RN – Remote in Texas

UnitedHealth Group•Houston, TX

20h•$29 - $52•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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This is a fully remote position within the state of Texas. Work Schedule: Monday – Friday, 8am – 5pm CST with flex scheduling option in the future Areas: Minor home modifications, vehicle modifications, or adaptive aids for patients with HCBS waiver benefit in Texas If you are located within the state of Texas, you will have the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: Review and coordination of Minor Home Modification (MHM) and Vehicle Modifications for the HCBS Waiver Service Coordinators Review requests for benefit, including health and safety concerns Coordinate and conduct interdisciplinary meetings with service coordination, management and medical directors as needed for review Work collaboratively with vendors to coordinate initiation of MHM, progress and completion Work collaboratively with SC to facilitate review and completion of MHM/Vehicle Mod Identifies and resolves technical, operational and organizational problems within and outside own team Develops, translates and executes strategies or functional/operational objectives for UnitedHealthcare including medical management, financial accountability, customer and provider satisfaction, and quality improvement in accordance with state guidelines Works autonomously to identify issues, craft action plans and implement changes to positively impact business function Tracks and trends data, identifying opportunities for improvement and communicating effectiveness Identifies training opportunities and deficiencies and works closely with training team Identifies operational efficiencies to enhance operations and standardize best practices across the organization Confirms team compliance with all regulatory requirements Provides oversight and direction of MHM clinical admin staff Facilitates and strengthens relationships with providers within UHC network and identifies new providers to include in network This position will be a work at home position working Monday - Friday (days) with some flexibility in hours You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

Current and unrestricted RN license in the state of Texas
2+ years of experience working within the community health setting or in a health care role
2+ years of experience working in Medicaid and HCBS Star Plus Waiver program
Intermediate level of proficiency with Microsoft Office, including Word, Excel, and Outlook
High-speed internet at residence
Must reside in the state of Texas

Nice To Haves

Understanding of the Minor Home Modification and ISP development process
Computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software application
Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations
Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

Responsibilities

Review and coordination of Minor Home Modification (MHM) and Vehicle Modifications for the HCBS Waiver Service Coordinators
Review requests for benefit, including health and safety concerns
Coordinate and conduct interdisciplinary meetings with service coordination, management and medical directors as needed for review
Work collaboratively with vendors to coordinate initiation of MHM, progress and completion
Work collaboratively with SC to facilitate review and completion of MHM/Vehicle Mod
Identifies and resolves technical, operational and organizational problems within and outside own team
Develops, translates and executes strategies or functional/operational objectives for UnitedHealthcare including medical management, financial accountability, customer and provider satisfaction, and quality improvement in accordance with state guidelines
Works autonomously to identify issues, craft action plans and implement changes to positively impact business function
Tracks and trends data, identifying opportunities for improvement and communicating effectiveness
Identifies training opportunities and deficiencies and works closely with training team
Identifies operational efficiencies to enhance operations and standardize best practices across the organization
Confirms team compliance with all regulatory requirements
Provides oversight and direction of MHM clinical admin staff
Facilitates and strengthens relationships with providers within UHC network and identifies new providers to include in network