Optum Field-Based Post-Acute Care Coordinator

4 weeks ago


Scottsdale, Arizona, United States UnitedHealth Group Full time

At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Post-Acute Case Manager, you'll play a critical role in our mission by supporting the primary care team and working closely with health partners, members, and the interdisciplinary care team to facilitate appropriate discharge planning.

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

At UnitedHealth Group, we're committed to creating a diverse and inclusive environment that values and respects the contributions of all employees. We believe that everyone deserves the opportunity to live their healthiest life, and we're dedicated to making that a reality.



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