Job details
Job type full-time
Full job description
Unitedhealthcare is a company that`s on the riseWe`re expanding in multiple directions, across borders and, most of all, in the way we thinkHere, innovation isn`t about another gadget, it`s about transforming the health care industryReady to make a difference? make yourself at home with us and start doing your life`s best work.(sm)
You push yourself to reach higher and go furtherBecause for you, it’s all about ensuring a positive outcome for patientsIn this role, you’ll work in the field and coordinate the long-term care needs for patients in the local communityAnd at every turn, you’ll have the support of an elite and dynamic teamJoin 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 health and social services 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.
If you are located in or near hilo, hawaii, you will have the flexibility to telecommute* as you take on some tough challengesPlease note that this is a work from home opportunity, but you need to live in or near hilo.
Primary responsibilities:
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care
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 patient’s needs and choices are fully represented and supported by the health care team
Once appropriate to go back into the field, expect to spend about 80% of your time in the field visiting our members in their homes or in long-term care facilitiesYou’ll need to be flexible, adaptable and, above all, patient in all types of situations.
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:
Must meet one of the following:
Current, unrestricted rn or social worker license in the state of hawaii with 4+ years of experience working within the community health setting in a health care role
Or
3+ years of experience working in a member-facing role in a medical, community health or social services setting with 1+ years of experience in at least one of the following service areas: mental health, behavioral health, addiction/substance abuse, crisis intervention, health education, homeless or homeless outreach services, managed care
Experience working directly or collaborating services for long-term care, home health, hospice, public health or assisted living
Intermediate experience working 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
Current access or ability to obtain internet access via a landline
Based on the federal mandate full covid-19 vaccination is an essential requirement of this roleUnitedhealth group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance
Preferred qualifications:
Bachelor`s degree or higher
Background in managing populations with complex medical or behavioral needs
Background in mental health or experience working with serious mental illness
Case management experience
Ccm (certified case manager)
Experience/exposure with discharge planning
Experience with utilization review, concurrent review and/or risk management
Experience with electronic charting
Experience with arranging community resources
Prior field based work experience
Experience as a public health nurse
Bilingual
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Careers at unitedhealthcare community & stateChallenge brings out the best in usIt also attracts the bestThat`s why you`ll find some of the most amazingly talented people in health care hereWe serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, hiv/aids and high-risk pregnancyOur holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factorsJoin usWork with proactive health care, community and government partners to heal health care and create positive change for those who need it mostThis is the place to do your life`s best work.(sm)
*all telecommuters will be required to adhere to unitedhealth group’s 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 workplaceCandidates are required to pass a drug test before beginning employment.
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