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Care Coordination Specialist

2 months ago

Canon City, United States UnitedHealth Group Full time
Overview:

At UnitedHealth Group, we are dedicated to enhancing the healthcare experience, fostering healthier communities, and eliminating obstacles to quality care. The contributions made in this role positively influence the lives of countless individuals. We are focused on developing a healthcare system that is more responsive, affordable, and equitable.

Role Summary:
This position is integral to achieving corporate goals by applying expertise in Long-Term Services and Supports (LTSS) to deliver effective Case Management.

Key Responsibilities:
- Conduct intake, screening, and referral processes, along with assessments and reassessments.
- Develop and implement support plans, ensuring ongoing case management and monitoring of members' health and welfare.
- Maintain thorough documentation of interactions and case management activities in the designated system.
- Cultivate resources and manage case closures appropriately.
- Uphold confidentiality and respect privacy as outlined in the UnitedHealth Group Employee Handbook.
- Execute monitoring contacts as required, ensuring regular communication with members based on their conditions.
- Perform face-to-face meetings with members at least biannually or more frequently as needed.
- Update assessment tools and care plans to reflect any changes in members' conditions or services.
- Complete additional assessments as necessary and monitor the delivery of services outlined in the Support Plan.
- Attend training sessions provided by the department and participate in agency-sponsored professional development.
- Ensure compliance with the requirements of the CMA Contract Agreement, delivering accurate and timely work.
- Report any suspicions of mistreatment or abuse to the appropriate authorities immediately.
- May undertake special projects and assist with system assessments as required.
- This role necessitates travel; reliable transportation is essential for visiting various locations.

Qualifications:
Required:
- A Bachelor’s degree in a relevant field such as human services, nursing, social work, psychology, or public health.
- A minimum of 5 years of relevant experience in LTSS or a combination of education and experience.
- At least 1 year of proficiency with MS Office applications including Word, Excel, and Outlook.
- Access to dependable transportation and willingness to travel up to 75% within the assigned area.
- Residency in the designated service areas.

Preferred:
- Experience as a caseworker or case manager within the LTSS population may substitute for educational requirements on a year-for-year basis.

Compensation:
The hourly wage for this position is competitive and based on various factors including local labor markets, education, and experience. In addition to salary, UnitedHealth Group offers a comprehensive benefits package, including incentive programs and retirement contributions.

Diversity Commitment:
UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer. We value diversity and encourage all qualified applicants to apply, regardless of race, color, religion, sex, age, national origin, disability status, sexual orientation, gender identity, or any other characteristic protected by law.