HSS Clinical Coordinator

3 weeks ago

Houston, United States UnitedHealthcare Full time

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 HSS Clinical Coordinator- Hospital Transition 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 the Houston, TX market and can travel locally to Memorial Hermann 1635 North Loop W. Fwy Houston TX 77008 (Heights) and Chi St Lukes 1101 Bates Ave Houston, TX 77030 locations, you will have the flexibility to work in a hybrid role as you take on some tough challenges. Travel required in local areas about 75% of the time based on business needs.

  • Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
  • Discuss discharge planning to ensure understanding and assist in ensuring all ordered services are arranged prior to discharge
  • Utilize both company and community-based resources to establish a safe and effective discharge case management plan for members
  • Collaborate with patient, family, and healthcare providers to develop an individualized plan of care
  • Work with members to identify potential barriers to achieving healthcare goals and outcomes
  • Identify and initiate referrals for specialized case management programs, social service programs, including financial, psychosocial, community, and state supportive services
  • Resolve barriers to in-home care, transportation, medical or medications and find alternatives for additional support if needed
  • 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
  • Document all member assessments, care plan and referrals provided
  • Participate in Interdisciplinary team meetings/rounds and provide information to support members individualized needs
  • Understand insurance products, benefits, coverage limitations, and governmental regulations as it applies to the health plan
  • Understand role and how it affects utilization and quality outcomes
  • Provide, arrange, and coordinate preventive, primary, behavioral health and pharmacy services that contribute to the well-being of the member
  • Review medical records for compliance with regulatory guidelines (e.g., NCQA, state Medicaid contracts, and compliance)
  • Work with internal partners to create a culture of health and wellness that promotes member health
  • Provide individualized education on preventative healthcare measures (e.g., immunization, healthcare screening) to close quality gaps in care

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:

  • Active LVN license in the State of Texas or Non-4 year degree AND 5+ years of experience working with ABD/SSI population within a clinical health care role 
  • 3+ years of clinical experience in a healthcare setting (preferably inpatient) 
  • 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 within other settings, including community centers, hospitals, nursing facilities or providers' offices
  • High-speed internet at residence

Preferred Qualifications:

  • Experience in discharge planning
  • Experience in managed care
  • Experience with electronic charting
  • Background in managing populations with complex medical or behavioral needs
  • Knowledge of quality metrics, pay for quality or HEIDIS measures
  • Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance, and achieve targets 

*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.

#RPO #RED

  • Field HSS Coordinator-Central Houston/Harris County, TX

    3 days ago

    Houston, United States UnitedHealthcare Full time

    Job SummaryUnitedHealthcare is seeking a highly skilled Field HSS Coordinator to join our team in Central Houston/Harris County, TX. As a key member of our Integrated Care Model, you will play a vital role in ensuring our members receive the best possible care.Key ResponsibilitiesAssess and implement individualized care strategies for patients, focusing on...

  • Clinical Research Coordinator Lead

    3 weeks ago

    Houston, Texas, United States Axsendo Clinical Full time

    Job OverviewAxsendo Clinical Research is seeking a highly motivated and experienced Lead Clinical Research Coordinator to join our dynamic team. As a key member of our clinical research team, you will be responsible for coordinating and managing clinical research studies, ensuring compliance with regulatory requirements and company policies.Key...

  • Clinical Research Coordinator II

    2 weeks ago

    Houston, Texas, United States DM Clinical Research Full time

    Job DescriptionClinical Research Coordinator IIThe Clinical Research Coordinator II will ensure that quality research is conducted at the assigned investigative sites in accordance with the sponsor protocol, FDA Regulations, and ICH/GCP guidelines. The CRC II will also ensure study enrollment meets or exceeds Sponsors' expectations. To ensure company goals...

  • Clinical Research Associate

    3 weeks ago

    Houston, Texas, United States Axsendo Clinical Full time

    Job OverviewAxsendo Clinical Research is seeking a highly motivated and detail-oriented Clinical Research Coordinator to join our dynamic team. As a Clinical Research Coordinator, you will play a critical role in the success of our clinical trials by ensuring the smooth execution of study protocols, managing data, and maintaining accurate records.Key...

  • Clinical Research Director

    2 weeks ago

    Houston, Texas, United States DM Clinical Research Full time

    Job SummaryDM Clinical Research is seeking a highly experienced and skilled Regional Director to lead our clinical research operations. As a Regional Director, you will be responsible for providing leadership, project management, and oversight for multiple locations, ensuring that clinical trials are conducted in accordance with Sponsor goals, Standard...

  • Clinical Research Coordinator

    3 days ago

    Houston, Texas, United States MD Anderson Center Full time

    Job Title: Clinical Research CoordinatorThe University of Texas MD Anderson Cancer Center is seeking a highly motivated and detail-oriented Clinical Research Coordinator to join our team. As a Clinical Research Coordinator, you will play a critical role in the coordination and implementation of clinical research studies, ensuring the highest level of quality...

  • Clinical Research Coordinator

    2 weeks ago

    Houston, Texas, United States MD Anderson Center Full time

    Clinical Studies Coordinator Job DescriptionThe Clinical Studies Coordinator is a key member of the research team at MD Anderson Center, responsible for the effective operation of designated protocols. This role involves development, design, and resolution of operations and budget issues in collaboration with the principal investigator or study sponsor.Key...

  • Clinical Nurse Coordinator

    2 weeks ago

    Houston, Texas, United States Texas Children's Hospital Full time

    Job Title: Clinical Nurse CoordinatorWe are seeking a skilled Clinical Nurse Coordinator to join our team at Texas Children's Hospital. As a Clinical Nurse Coordinator, you will play a vital role in providing high-quality patient care and ensuring the smooth operation of our outpatient hematology clinic.Responsibilities:Provide direct and telephone nursing...

  • Clinical Nurse Coordinator

    2 weeks ago

    Houston, Texas, United States Texas Children's Hospital Full time

    Job Title: Clinical Nurse CoordinatorWe are seeking a skilled Clinical Nurse Coordinator to join our team at Texas Children's Outpatient Hematology clinic. As a Clinical Nurse Coordinator, you will provide high-quality patient care, health education, and coordination of services in a fast-paced setting.Responsibilities:Provide direct and telephone nursing...

  • Clinical Research Coordinator

    4 weeks ago

    Houston, Texas, United States TFS HealthScience Full time

    About TFS HealthScienceTFS HealthScience is a leading global Contract Research Organization (CRO) that partners with biotechnology and pharmaceutical companies throughout their entire clinical development journey. Our expertise includes full service-capabilities, resourcing and Functional Service (FSP) solutions.Our MissionWe strive to deliver tailored...

  • Clinical Nurse Coordinator

    1 week ago

    Houston, Texas, United States HCA Houston Healthcare Mainland Full time

    Join Our Team as a Clinical Nurse CoordinatorWe are seeking a highly skilled and compassionate Clinical Nurse Coordinator to join our team at HCA Houston Healthcare Mainland. As a Clinical Nurse Coordinator, you will play a vital role in ensuring the delivery of high-quality, patient-centered care and coordination of all functions in the unit/department...

  • Clinical Coordinator

    3 days ago

    Houston, Texas, United States DaVita Full time

    About DaVitaDaVita is a clinical leader in the healthcare industry, with a strong commitment to providing quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice.Job SummaryWe are seeking a Clinical Coordinator to join our team at DaVita. As a Clinical Coordinator, you will play a critical role...

  • Clinical Study Coordinator

    1 month ago

    houston, United States TFS HealthScience Full time

    Join Our Team as a Study CoordinatorTFS HealthScience is a leading global mid-size Contract Research Organization (CRO) that partners with biotechnology and pharmaceutical companies throughout their entire clinical development journey. Our expertise includes full service-capabilities, resourcing and Functional Service (FSP) solutions.About This RoleThe Study...

  • Clinical Study Coordinator

    1 month ago

    houston, United States TFS HealthScience Full time

    Join Our Team as a Study CoordinatorTFS HealthScience is a leading global mid-size Contract Research Organization (CRO) that partners with biotechnology and pharmaceutical companies throughout their entire clinical development journey. Our expertise includes full service-capabilities, resourcing and Functional Service (FSP) solutions.About This RoleThe Study...

  • Clinical Study Coordinator

    2 months ago

    Houston, United States TFS HealthScience Full time

    Join Our Team as a Study CoordinatorTFS HealthScience is a leading global mid-size Contract Research Organization (CRO) that partners with biotechnology and pharmaceutical companies throughout their entire clinical development journey. Our expertise includes full service-capabilities, resourcing and Functional Service (FSP) solutions.About This RoleThe Study...

  • Clinical Study Coordinator

    2 months ago

    Houston, United States TFS HealthScience Full time

    Join Our Team as a Study CoordinatorTFS HealthScience is a leading global mid-size Contract Research Organization (CRO) that partners with biotechnology and pharmaceutical companies throughout their entire clinical development journey. Our expertise includes full service-capabilities, resourcing and Functional Service (FSP) solutions.About This RoleThe Study...

  • Clinical Research Coordinator

    3 weeks ago

    Houston, Texas, United States TFS HealthScience Full time

    About This RoleWe are seeking a highly skilled Clinical Study Coordinator to join our team at TFS HealthScience. As a key member of our SRS team, you will be dedicated to one of our partners, an emerging gene therapy company.Key ResponsibilitiesOversee daily functions of multiple clinical trials, ensuring seamless coordination and supervision.Collaborate...

  • Clinical Transition Coordinator

    4 weeks ago

    Houston, Texas, United States Soleo Health Full time

    About the RoleSoleo Health is seeking a highly skilled Clinical Transition Coordinator to join our team. As a Clinical Transition Coordinator, you will play a critical role in coordinating patient care transitions from hospital or healthcare facilities to alternative sites of care.Key ResponsibilitiesWork closely with physicians, case managers, and internal...

  • Clinical Research Coordinator

    2 weeks ago

    Houston, Texas, United States aQua Dialysis Full time

    Job DescriptionAs a Clinical Coordinator at aQua Dialysis, you will play a vital role in the success of our clinical research team. Your primary responsibility will be to coordinate and manage clinical trials, ensuring that all aspects of the trial are conducted in accordance with Good Clinical Practice (GCP) and regulatory requirements.Key...

  • Clinical Operations Coordinator

    2 weeks ago

    Houston, Texas, United States Memorial Hermann Health System Full time

    Job SummaryThe Clinical Operations Coordinator plays a vital role in supporting management in the daily administrative operations of the assigned area. This includes planning, directing, and coordinating administrative functions, such as ordering supplies, maintaining inventory details, and monitoring equipment. The ideal candidate will possess strong...