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Waiver Case Manager

$53.06k - $79.6k

UnitedHealth Group

Requisition number: 2377460

Job category: Admin Support Services

Explore opportunities with Almost Family Personal Care Services, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Wavier Case Manager, you are the key player in integrating Case Management and Social Services for clients in Kentucky's waiver program. You lead a dynamic, collaborative process to assess, plan, implement, coordinate, monitor, and evaluate services, ensuring they meet your client's health care needs. You are their advocate, championing their well-being while educating staff on resource utilization and discharge planning. Your role is vital in making a real difference in their lives!

Primary Responsibilities:

  • Client Needs Assessment and Coordination: Identifying client needs and ensuring they are met through effective coordination and monitoring of services

  • Service Planning and Implementation: Leading the person-centered service planning team and overseeing the development, implementation, and updates to care plans

  • Quality and Compliance: Assessing the quality, safety, and cost-effectiveness of services, ensuring compliance with Medicaid Waiver requirements, and maintaining accurate documentation

  • Client Advocacy: Acting as a patient advocate and communicating effectively to ensure the best interest of the client

  • Education and Training: Educating clients and staff on case management processes, rights, risks, responsibilities, and available resources

  • Collaboration: Coordinating with various service providers, agencies, and departments to ensure comprehensive care and resolve eligibility issues

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.

Preferred Qualifications:

  • Bachelor's or Master's degree in a health and human service field with 1+ year of experience in geriatric or disabilities field OR Current, unrestricted Kentucky RN license with 2 years of experience in geriatric or disabilities field

  • Proven broad knowledge base of special needs groups, community groups, and service organizations

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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $53,064 to $79,596 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.

Vacancy posted 3 hours ago
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