Healthcare Transition Specialist

3 weeks ago

Texas USA, United States UnitedHealthcare Full time
About the Role

At UnitedHealthcare, we're committed to simplifying the healthcare experience and creating healthier communities. As a Healthcare Transition Specialist, you'll play a vital role in ensuring a seamless transition for patients from institutional settings to community-based care.

Key Responsibilities
  • Assess and develop individualized care strategies to promote the most appropriate, least restrictive community-based settings.
  • Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services.
  • Provide intensive psychosocial rehabilitation and transition services, including Cognitive Adaptation Training (CAT).
  • Complete specified screening instruments on each member every six months in the program.
  • Communicate and coordinate with member's assigned service coordinator twice monthly to ensure continuity of care.
  • Participate in all training activities and learning community with all stakeholders.
  • Advocate for patients and families as needed to ensure their needs and choices are fully represented and supported by the healthcare team.
  • Make outbound calls and receive inbound calls to assess members' current health status.
  • Identify gaps or barriers in treatment plans.
  • Assist with providing housing options and collecting documents.
  • Conduct in-person visits and assessments.
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 healthcare system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life, and we're committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

We're 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.

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