LTSS Case Manager - Mesa County, Colorado in surrounding areas - Remote

UnitedHealth Group•Grand Junction, CO

9d•$29 - $52•Remote

About The Position

This position supports corporate objectives by utilizing a demonstrated competency of Long Term Services and Supports to provide Case Management. Participates in case conferences with the Supervisor. Expect to spend about 50% of your time in assigned 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. If you reside within Colorado and locally to Mesa County, CO, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

Bachelor’s degree in one of the human behavioral science fields such as human services, social work, psychology, or public health OR 5+ years of relevant experience in the field of LTSS OR Combination of education and experience
1+ years of experience with MS Office, including Word, Excel, and Outlook
Access to reliable transportation and the ability to travel up to 50% within assigned territory to meet with members and providers
Reside locally to Mesa County, CO
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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. 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 the Member’s 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
Responsible to conduct 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