UnitedHealthcare
At UnitedHealthcare, weāre 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.
This is a Field Based role with a Home-Based office. If you are located within San Antonio, TX and surrounding areas, you will enjoy the flexibility to telecommute* as you take on some tough challenges.
Required Qualifications: Current unrestricted RN license in the state of Texas 2+ years of experience working within the community health setting or in a healthcare role Intermediate level of computer proficiency including the use of Microsoft Outlook, Teams, Excel, Word, and the ability to navigate through multiple web applications Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet serve Ability to travel in assigned regions to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providersā offices Access to reliable transportation & valid US driverās license Preferred Qualifications: 1+ years of experience with long-term care services and support, Medicaid or Medicare Ability to create, edit, save and send documents, spreadsheets and emails Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations Reside within commutable distance of assigned duties Certified Case Management Certification (CCM) Bilingual English and Spanish
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patientās needs and choices are fully represented and supported by the health care team
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