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Healthcare Transition Specialist

2 months ago


Helotes, Texas, United States UnitedHealthcare Full time

About the Role:

We are seeking a skilled Healthcare Transition Specialist to join our team at UnitedHealthcare. In this role, you will play a critical part in ensuring a seamless transition of patients from institutional settings to the community.

Key Responsibilities:

  • Assess and develop individualized care strategies for patients, focusing on the most appropriate, least restrictive community-based settings.
  • Identify and initiate referrals for social services, including financial, psychosocial, community, and state supportive services.
  • Provide intensive psychosocial rehabilitation and transition services, including Cognitive Adaptation Training (CAT).
  • Complete regular screenings and assessments to ensure continuity of care.
  • Communicate and coordinate with service coordinators to ensure patient needs are met.
  • Advocate for patients and families to ensure their needs and choices are represented and supported by the healthcare team.
  • Make outbound calls and receive inbound calls to assess patient health status and identify gaps or barriers in treatment plans.
  • Assist with providing housing options and collecting documents.
  • Conduct in-person visits and assessments to ensure patient needs are met.

Requirements:

  • Bachelor's Degree in health, social services, or a related field, and 1+ years of relevant experience in assisting people in transitioning from institutional settings to the community.
  • Active Social Worker license or Licensed Behavioral Health Professional in the state of Texas.
  • 3+ years of experience working within the community health setting in a healthcare role.
  • 1+ years of experience working with persons with a serious mental illness (SMI) and/or experience of mental illness.
  • The ability to travel in assigned regions to visit Medicaid members in their homes and/or other settings.

Preferred Qualifications:

  • Master-level Social Worker (LMSW, LCSW) or Professional Counselor, Licensed Bachelor Social Worker (LBSW), Provisionally Licensed Psychologist (PLP), or Licensed Psychological Associate (LPA) licensed to practice in Texas.
  • A background in managing populations with complex medical or behavioral needs.
  • 5+ years of experience working with MS Word, Excel, and Outlook.
  • Case management experience.
  • 5+ years of experience documenting in an electronic documentation system.
  • Certified Case Manager (CCM).
  • Experience in discharge planning.
  • Experience with arranging community resources.
  • Bilingual in Spanish and/or Vietnamese.

About UnitedHealthcare:

At UnitedHealthcare, 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.

UnitedHealthcare is an Equal Employment Opportunity / Affirmative Action employer:

We are committed to creating a diverse and inclusive work environment that reflects the communities we serve. We are an equal opportunity employer and welcome applications from diverse candidates.