- Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays
- Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families
- Complete all SNF concurrent reviews, updating authorizations on a timely basis
- Collaborate effectively with the patients' health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc.
- Assure patients' progress toward discharge goals and assist in resolving barriers
- Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director
- Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services
- Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed
- Attend patient/family care conferences
- Assess and monitor patients' continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome
- When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate
- Coordinate peer to peer reviews with naviHealth Medical Directors
- Support new delegated contract start-up to ensure experienced staff work with new contract
- Manage assigned caseload in an efficiently and effectively utilizing time management skills
- Enter timely and accurate documentation into the CM Tool application
- Daily review of census and identification of barriers to managing independent workload and ability to assist others
- Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement
- Adhere to organizational and departmental policies and procedures
- Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws
- Perform other duties and responsibilities as required, assigned, or requested
- Active, unrestricted registered clinical license - Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist
- 3+ years of clinical experience
- Proficient with Microsoft Office applications including Word, Excel and Outlook
- 2+ years of Case Management experience
- Patient education background, rehabilitation, and/or home health nursing experience
- Experience working with geriatric population
- Demonstrated ability to prioritize, plan, and handle multiple tasks/demands simultaneously
- Proven exceptional verbal and written interpersonal and communication skills
- Proven solid problem solving, conflict resolution, and negotiating skills
- Proven independent problem identification/resolution and decision-making skills
- Proven detail-oriented
- Proven team player
- Ability to establish a home office workspace
- Ability to manipulate laptop computer (or similar hardware) between office and site settings
- Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time
- Ability to communicate with clients and team members including use of cellular phone or comparable communication device
- Ability to remain stationary for extended time periods hours)
- Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 25% of the time
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
-
Drafter - Pine Bluff Arkansas
1 week ago
ASP Web Solutions White Hall, United StatesJob Description · Job DescriptionASP Web Solutions, LLC is looking for a Drafter to join our team in Pine Bluff Arkansas. This person will support the Pine Bluff Arsenal (PBA) on-site in White Hall, AR with drafting CAD documents. · The ideal candidate has CAD and SolidWorks. He/ ...
-
Fidelis Partners Pine Bluff, United States Full time**Are you a passionate gastroenterologist seeking a fulfilling career with a · supportive team and excellent work-life balance?** Look no further We offer a · phenomenal opportunity to join a thriving practice and live in a dynamic · Southern city known for combining affordabilit ...
-
Health Care Specialists of America Pine Bluff, AR, United StatesTHE OPPORTUNITY: Primary Care Physician - Internal Medicine and Family Practice PhysicianTHE LOCATION: Pine Bluff, ArkansasReady for a change? We have an exciting opportunity available for an Internal Medicine and a Family Practice Physician to join our team in Pine Bluff, Arkans ...
-
Hines Trucking Pine Bluff, United StatesLocal Haul CDL Truck Driver, Pine Bluff, AR · **Local Haul CDL Truck Driver, Pine Bluff, AR** · **Local Haul CDL Truck Driver** · **Pine Bluff, Arkansas** Day and night shifts available. Schedule may include weekends. · Trucks are assigned parking location in Pine Bluff. · D ...
-
SCP Health Pine Bluff, United States Full timeSCP Health is a physician-led team of clinical and operational experts, collectively passionate about revitalizing health care. We craft and utilize proven models of care, proprietary technology, and data-driven insights to accelerate progress in care delivery across health care ...
-
LocumTenens Pine Bluff, United StatesAn Outpatient Clinic is seeking a Pediatrician for locum tenens coverage. · In Pine Bluff, Arkansas, explore the Arkansas Railroad Museum to learn about the state's railroading history or enjoy outdoor activities at Saracen Landing, featuring a scenic riverwalk and fishing opport ...
-
LocumTenens Pine Bluff, United StatesAn Outpatient Pediatric Clinic is seeking a Pediatric DNP for locum tenens coverage. · In Pine Bluff, Arkansas, explore the Arkansas Railroad Museum to learn about the state's railroading history or enjoy outdoor activities at Saracen Landing, featuring a scenic riverwalk and fis ...
-
LocumTenens Pine Bluff, AR, United States Full timeAn Outpatient Pediatric Clinic is seeking a Pediatric Physician Assistant for locum tenens coverage. · In Pine Bluff, Arkansas, explore the Arkansas Railroad Museum to learn about the state's railroading history or enjoy outdoor activities at Saracen Landing, featuring a scenic ...
-
Aureus Medical Group Pine Bluff, AR, United StatesPhysical Therapist needed for inpatient setting in Pine Bluff, AR13 weeks2+ year of PT experience required1+ year of inpatient/acute experience requiredAR license or compact license needed Position: Therapist Specialty/Modality: Physical Therapy Licenses/Certifications: CPR ...
-
The Hire Connection Pine Bluff, AR, United StatesENT Opportunity Pine Bluff, AR (Outdoor Paradise - 30 Min to Little Rock) H1-B Candidates Welcome Outstanding opportunity for BC/BE ENT to join a well-established practice and enjoy a full spectrum of Otolaryngology, full medical/surgical specialist backup, and a strong referral ...
-
Family Medicine Residency Program Faculty
2 weeks ago
University of Arkansas for Medical Sciences Pine Bluff, United StatesThe University of Arkansas for Medical Sciences is seeking a Board Certified Family Physician for a full time faculty position in the UAMS South Central Family Medicine Residency Program in Pine Bluff, Arkansas. · The Assistant Professor faculty level position will support the e ...
-
Interventional Cardiology job in: Pine Bluff, AR
2 weeks ago
Archway Physician Recruitment LLC Pine Bluff, United StatesInterventional Cardiology Opening in Pine Bluff Arkansas Located in Pine Bluff, AR30 minutes to Little Rock, AR Service area of 100,000 peopleFull time, permanent openingRequirements: Board Certified or Board EligibleWe offer a highly competitive recruitment package including: Co ...
-
Internal Medicine Opening in Pine Bluff, AR
2 weeks ago
Summit Recruiting Group LLC Pine Bluff, United StatesInternal Medicine opening in Pine Bluff, AR - 45 miles from Little Rock, AR- Service area of 100,000 people Opportunity Details: - Full time, permanent opening- Employed- Competitive salary compensation based on education and experience- Competitive benefits- Sign-on Bonus- Reloc ...
-
Travel Physical Therapist Therapy
1 week ago
TheraEx Therapy Pine Bluff, AR, United States TemporaryTheraEx Therapy is seeking a travel Physical Therapist for a travel job in Pine Bluff, Arkansas. · Job Description & Requirements · ~ Specialty: Physical Therapist · ~ Discipline: Therapy · ~ Duration: 13 weeks · ~40 hours per week · ~ Shift: 8 hours, days · ~ Employment T ...
-
Extra Help Assist
1 week ago
University of Arkansas System Pine Bluff, United StatesCurrent University of Arkansas System employees including student employees and graduate assistants need to log into Workday on My Apps. Simply enter "Find Jobs" in the Workday search bar to view open positions. · All Job Postings will close at 12:01 a.m. CT on the specified Clos ...
-
Residential Counselor
1 week ago
University of Arkansas System Pine Bluff, United StatesCurrent University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institu ...
-
Extra Help Assist
1 week ago
University of Arkansas System Pine Bluff, United StatesCurrent University of Arkansas System employees (excluding those at UAMS) including student employees and graduate assistants need to log into Workday on My Apps. Simply enter "Find Jobs" in the Workday search bar to view open positions. · All Job Postings will close at 12:01 a.m ...
-
Residential Night Supervisor
2 weeks ago
University of Arkansas System Pine Bluff, AR, United StatesCurrent University of Arkansas System employees including student employees and graduate assistants need to log into Workday on My Apps. Simply enter "Find Jobs" in the Workday search bar to view open positions. · All Job Postings will close at 12:01 a.m. CT on the specified Clos ...
-
Student Research Assistant
1 week ago
University of Arkansas System Pine Bluff, United StatesCurrent University of Arkansas System employees including student employees and graduate assistants need to log into Workday on My Apps. Simply enter "Find Jobs" in the Workday search bar to view open positions. · All Job Postings will close at 12:01 a.m. CT on the specified Clos ...
-
Hospitalist Medicine Nurse Practitioner
1 week ago
SCP Health Pine Bluff, AR, US, United States* Staffing Model: Days - 4 MDDO and Nights - 1 MDDO/1 NPPA · * Daily Census Average: 64-72 · * NP/PA Schedule is 6p to 6a · * Closed ICU · *Facility Information* · Jefferson Regional Medical Center is a 333 bed not-for-profit, private, acute care facility. It offers primary care ...
skilled inpatient care coordinator navihealth pine bluff arkansas - Pine Bluff, AR , USA, United States - UnitedHealth Group Inc.
Description
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care.
We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
Why naviHealth?
At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care.
naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions.
We do health care differently and we are changing health care one patient at a time.Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company's technical vision and strategy.
The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients' recovery journeys.The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning.
The position engages patients and families to share information and facilitate informed decisions.By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.
If you live within 30 miles of zip code 71601, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.
Primary Responsibilities:
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.
Required Qualifications:
Preferred Qualifications:
Work Conditions and Physical Requirements:
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
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.
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.
