Re Entry Case Manager - Field based in Bell, Floyd Counties, KY and surrounding areas
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. If you reside within the state of KY and locally to Bell and Floyd Counties, KY, you will have the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: Provide a complete continuum of quality care through close communication with members via phone, virtual, or in-person interaction Assist members with the transition from a carceral facility back to the community via Health Assessment and Care Planning Partner with care team (correctional facilities, community providers, internal staff) to complete care plans and warm handoff Improve health and self-management of conditions Reduce inappropriate emergency department utilization, preventable hospital readmissions, and reduction in recidivism Provide member education on Medicaid benefits, treatment options, and comprehensive services May participate in community events related to scope of work Meet NCQA Population Health Management Standards Meet state-specific contractual requirements related to the delivery of care management 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
- BA/BS in social or behavioral sciences or closely related discipline
- 1+ years of direct experience with justice-involved populations
- Experience with Microsoft Excel, Microsoft Word (creating and editing documents) and Microsoft Outlook (send/receive emails)
- Access to high-speed internet and dedicated workspace from home
- Driver’s License, access to reliable transportation, and the ability to travel up to 50% locally, to visit client and/or carceral sites within designated area
- Must reside in the state of Kentucky and locally to Floyd and Bell Counties
Nice To Haves
- Licensed clinician such as RN, LPN, LCSW/LPCC or MSW
- Case Management experience
- Home care / field-based case management
- Carceral facility experience
- Medicaid, Medicare, Managed Care experience
- Experience with members with substance use disorders and members with other complex or multiple chronic conditions
- Familiarity with the resources available in the local community
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Responsibilities
- Provide a complete continuum of quality care through close communication with members via phone, virtual, or in-person interaction
- Assist members with the transition from a carceral facility back to the community via Health Assessment and Care Planning
- Partner with care team (correctional facilities, community providers, internal staff) to complete care plans and warm handoff
- Improve health and self-management of conditions
- Reduce inappropriate emergency department utilization, preventable hospital readmissions, and reduction in recidivism
- Provide member education on Medicaid benefits, treatment options, and comprehensive services
- May participate in community events related to scope of work
- Meet NCQA Population Health Management Standards
- Meet state-specific contractual requirements related to the delivery of care management
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
5,001-10,000 employees
