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HSS Clinical Coordinator - Telecommute in CO - 927029 - Grand Junction - 81504

Company: unitedhealthgroup
Location: Grand Junction
Posted on: June 7, 2021

Job Description:

Doing the right thing is a way of life at Rocky Mountain Health Plans (RMHP). As part of the UnitedHealthcare family of plans, RMHP provides innovative health insurance coverage and personalized attention to individuals of all ages and business of all sizes throughout Western and rural Colorado. RMHP is continually striving to improve the health and wellness of our Members and partners in the state where we live, work, and play because were Colorado, too. You push yourself to reach higher and go further. Because for you, its all about ensuring a positive outcome for patients. In this role, youll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, youll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients. In this RN Care Coordinator role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. If you are located in the state of Colorado, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Apply evidence-based criteria to review prior authorization requests and concurrent review for inpatient hospitalizations Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patients needs and choices are fully represented and supported by the health care team Youll 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. Required Qualifications: Associates degree or higher Current, unrestricted RN license for the state of Colorado 4+ years of experience working within the community health setting in a health care role Experience in long-term care, home health, hospice, public health or assisted living Proficiency with MS Word, Excel, and Outlook Ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained Preferred Qualifications: Behavioral health or clinical degree Utilization Management experience Background in managing populations with complex medical or behavioral needs Experience with electronic charting Experience with arranging community resources Field-based work experience Managed Long Term Services and Supports (MLTSS) or Aged, Blind, and Disabled Programs (ABD) experience

Doing the right thing is a way of life at Rocky Mountain Health Plans (RMHP). For more than 225,000 members of our unique, physician-founded health care organization, we provide innovative health insurance coverage and personalized attention to individuals of all ages and business of all sizes throughout Western and rural Colorado. As a part of Optum, the fastest growing part of the UnitedHealth Group family of businesses, we've enhanced our offerings through sophisticated tools and technologies, superior customer service and a commitment to striving to improve the health and wellness of our Members and partners in the state where we live, work, and play because were Colorado, too. From a career perspective you couldnt do better. Were all about quality and making a difference. And can make our opportunities your opportunity to do your lifes best work.(sm) Colorado Residents Only: The hourly range for Colorado residents is $25.63 to $45.72. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance. *All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy. 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: Health and Social Services Clinical Coordinator, RN Field Based, Registered Nurse, Community Health, RN, Nurse, Case Manager, MLTSS, Medicaid Waver, Behavioral Health, Public Health, Community Health, Long Term Care, Rehab, Home Care, Care Coordination, Home Health, Complex Case Management, Managed Care, Bilingual, Colorado, Work At Home, Travel, Work From Home, Telecommute, Telecommuter, Telecommuting, UHG, UnitedHealth Group, UHC, UnitedHealthcare, Community and State, Public Sector

Keywords: unitedhealthgroup, Grand Junction , HSS Clinical Coordinator - Telecommute in CO - 927029 - Grand Junction - 81504, Other , Grand Junction, Colorado

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