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HSS Coordinator - VA Market

HSS Coordinator - VA Market

UnitedHealth GroupRichmond, VA, United States
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At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Care Coordinator will be the primary care manager for a panel of intellectually disabled / developmentally delayed members with low-to-high complexity medical / behavioral needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.

If you reside within the state of VA, you will have the flexibility to work remotely. However, you will need reliable transportation as this role may require occasional field work to meet face-to-face with our members.

Primary Responsibilities :

  • Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
  • Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
  • Partner and collaborate with internal care team, providers, and community resources / partners to implement care plan
  • Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
  • Support proactive discharge planning and manage / coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
  • Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications :

  • Bachelor's degree in health or human services Field OR LMHP OR RN / LPN OR QMHP OR LMSW OR LBSW OR MSW OR BSW
  • 1+ years of care coordination or behavioral health experience and / or work in a healthcare environment
  • 1+ years of experience with MS Office, including Word, Excel, and Outlook
  • Experience working with members who have medical needs, intellectual disabilities, developmental delays, or individuals with physical disabilities and / or those who may have communication barriers
  • Driver's license and reliable transportation and the ability to travel within assigned territory to meet with members and providers if required
  • Preferred Qualifications :

  • CCM certification
  • QIDP
  • Experience working with Medicaid / Medicare population
  • Long term care / geriatric experience
  • Experience working in team-based care
  • Background in Managed Care
  • Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

    Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

    At UnitedHealth Group, 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.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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    Market Coordinator • Richmond, VA, United States

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