In your field, learning never stops. And neither do you. You are continually pushing yourself to reach higher and go further. To do everything you can to ensure a positive outcome for our patients. Staying on top of your game and persevering in the face of challenge will be a big part of your success. And at every turn, you'll have the support of an elite and dynamic team. Join us in this role and you will use your diverse knowledge and experience to make health care work better for our patients, while doing your life's best work.(sm)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). 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. We have needs in the following: Alleghany, Bath, Bedford, Botetourt, Craig, Roanoke and Rockbridge, VA. This is a telecommuting role. Candidate needs to live within the region as they need to understand local resources. 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 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)
Required Qualifications:Bachelor's Degree in Social Work, Public Health or other related field 1+ year experience directly working with individuals with complex medical or behavioral needs 2+ years recent experience in case management, home care, long term care and / or experience in acute or rehab care setting Strong computer proficiency (Microsoft Word, Outlook and Internet)Preferred Qualifications:Experience with Medicare and / or Medicaid Experience with complex populations Telephonic / Call Center experience Managed Care / Case Management experienceCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV / AIDS and high - risk pregnancy. Our holistic, outcomes - based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm) Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: Social Worker, Medicaid Waver, behavioral health, public health, community health, long term care, rehab, home care, care coordination, home health, complex case management, managed care, bilingual, telephonic, telecommuter, telecommute, telecommuting, remote, Alleghany, Bath, Bedford, Botetourt, Craig, Roanoke, Rockbridge, Hot Springs, Millsboro, Bedford, Buchanan, New Caste, Roanoke, VA, Virginia, AMLTSS2017,VAMLTSS
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.