Telephonic HSS Coordinator - Remote in the State of VA

Telephonic Care Coordinator

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.

Primary 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 members
• Collaborating with the members' 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)

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.

Required Qualifications:

• LPN or Bachelor's Degree in Social Work, Public Health or other related health fields
• 2+ years of experience in case management, or long-term care, home health, hospice, public health, or assisted living
• 1+ years of experience directly working with individuals with complex medical or behavioral needs
• 1+ years of experience using Microsoft Word, Excel, Outlook and Internet
• Reside within the state of VA
• Access to reliable transportation and valid US driver's license

Preferred Qualifications:

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

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.