Telephonic HSS Coordinator - State of VA

UnitedHealth Group•Richmond, VA

12d•$24 - $43•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. The Telephonic Care Coordinator is responsible for facilitating, promoting and advocating for the enrollees’ ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients (Community Well/Emerging High-Risk Population). The care coordinator will manage the care of members in their homes or other community settings by completing telephonic health assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent. The care manager will provide clinical and medical management services, including care management, health assessments, interventions, and discharge planning. This candidate may identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Work is generally self-directed and not prescribed; so it will be important to function in a less structured work environment. If you are located in Virginia, 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

Bachelor’s Degree in Social Work, Public Health or other related field
2+ years recent experience in case management, home care, long term care and/or experience in acute or rehab care setting
1+ year experience directly working with individuals with complex medical or behavioral needs
Solid computer proficiency (Microsoft Word, Outlook and Internet)
Driver’s License and access to a reliable transportation
Reside within the state of VA

Nice To Haves

Experience with Medicare and / or Medicaid
Experience with complex populations
Telephonic / Call Center experience
Managed Care / Case Management experience

Responsibilities

Engaging members / families telephonically to coordinate services, community resources and treatment needs
Delivering a holistic approach to coordinated care based on the member’s needs using a person centered philosophy
Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file
Creating, reviewing and revising care plans and focusing on a holistic approach
Functioning as an advocate for member
Collaborating with the member's PCP to deliver and coordinate necessary services
Building relationships with members and their families; assisting them with coordination of health choices
Ensuring cases are documented in a timely manner
Coordination with other state agencies, community resources and providers
Act as the primary point of contact for Members and the Interdisciplinary Care Team (ICT)