Care Coordinator for UnitedHealth

The Job —  Care Coordinator for UnitedHealth

Location —  Work from home and in field (TN)

Job Responsibilities —  From the United Health job posting:

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
Utilize both company and community-based resources to establish a safe and effective case management plan for members
Collaborate with patient, family and healthcare providers to develop an individualized plan of care
Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
Manage 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 patient’s needs and choices are fully represented and supported by the healthcare team
Utilize approved clinical criteria to assess and determine appropriate level of care for members
Document all member assessments, care plan and referrals provided
Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care
Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan
Accountable to understand role and how it affects utilization management benchmarks and quality outcomes

Requirements/Qualifications

Must be a Licensed Social Worker (LBSW, LMSW, LCSW) for the State of Tennessee
2+ years of clinical or case management experience

1+ year of experience in long-term care, home health, hospice, public health or assisted living

Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications

Schedule —  Full time, flexible

Employee or Contract — Employee

Compensation — Not advertised.

BenefitsFull benefits offered.

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