Optum Field-Based Post-Acute Care Coordinator

2 weeks ago


Glendale, Arizona, United States UnitedHealth Group Full time

Role Summary

The Post-Acute Case Manager functions as part of the primary care team, reporting to the Supervisor, Post-Acute Case Management. This role works in close collaboration within a transdisciplinary team and may support multiple providers. The Case Manager completes assessments, coordinates transitions of care, supports treatment plans, and completes case documentation in the electronic medical record and other health plan specific required duties as assigned.

Key Responsibilities

  • Engage OptumCare Arizona-members in eligible clinical services during skilled nursing facility admission
  • Work closely with health partners, members, and the interdisciplinary care team to facilitate appropriate discharge planning
  • Travel to designated skilled nursing facilities throughout Maricopa County, Arizona
  • Participate in weekly interdisciplinary team meetings at the skilled nursing facility
  • Perform utilization management, utilization review, or concurrent review (onsite or telephonic)
  • Coordinate and assure appropriate levels of care to members
  • Collaborate with the care team to meet patient-centric affordability goals and quality outcomes
  • Ensure regulatory compliance requirements are met
  • Responsible for providing medical management services, including case management, psychosocial assessments, and interventions to aid patients in improving their wellbeing
  • May identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD
  • Other duties as assigned

Requirements

  • Current, unrestricted Master of Social Work license in the state of Arizona (LMSW, LCSW) or Current, unrestricted registered nurse (RN) license in the state of Arizona
  • Ability to travel with reliable transportation to designated skilled nursing facilities throughout Maricopa County, Arizona
  • Demonstrated knowledge of utilization management, quality improvement, discharge planning with transitions of care
  • Experience working with Medicare members
  • Proven working knowledge of hospice and palliative care
  • Proven working knowledge of skilled nursing facilities & long term acute care facilities
  • Proven planning, organizing, conflict resolution, negotiating, and interpersonal skills
  • Ability to autonomously prioritize, plan, and manage multiple tasks/demands simultaneously
  • Experience with Microsoft Office
  • Access to reliable transportation


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