- Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care.
- Identify and initiate referrals for member transition to community request and provide assist with 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 for the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
- Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices.
- Current unrestricted RN license in the State of TX
- 2+ years of experience working within the community health setting or in a health care role
- Familiarity with Microsoft Office, including Word, Excel, and Outlook
- Reliable transportation and the ability to travel in this 'assigned region' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices
- High-speed internet at residence
- 1+ years of experience with long term care services and support, Medicaid or Medicare
- Ability to create, edit, save and send documents, spreadsheets and emails
- Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations.
- Reside within commutable distance of assigned duties
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RN Care Coordinator - McKinney, United States - UnitedHealth Group
Description
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
In this RN Care Coordinator role, 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. Our team is made up of RNs, LVN's, and CACs dedicated to helping members achieve their health care goals. We work closely with the nursing facilities in which our members reside.
If you are within a 60-mile radius one-way of Collin County, TX and can travel locally, you will have the flexibility to work remotely as you take on some tough challenges. Travel required in local areas about 50% of the time based on business needs.
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:
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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.
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.
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