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Community Transitions Coordinator - Telecommute in O'ahu, HI

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work. (sm)

Positions in this function include Hawaii state licensed RN and MSW/LSW roles that identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members.

You'll enjoy the flexibility to telecommute* from O'ahu, HI, as you take on some tough challenges.

Primary Responsibilities:

  • Conduct comprehensive member assessments.
  • Engage and assist members in the justice system transitioning into the community
  • Engage and assist members in accessing supports, services, and housing as they transition from the justice system into the community
  • Engage members either face to face or telephonically to have a discussion about their health
  • Collaborate with member to create solutions to overcome barriers to achieving health care goals
  • Provide individualized education on preventative healthcare measures
  • Review plan benefits and identify appropriate programs and services based on health needs and benefits
  • Engage member/providers to participate in the assessment process and collaboratively develop a person centered Health Action Plan based on their individual needs, preferences, and objectives
  • Coordinate member access to health-related programs, services, and/or providers
  • Document information in relevant systems
  • Coordinate with clinical staff to facilitate member care and/or services
  • Facilitate member choice
  • Determine and assist in maintaining member eligibility

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

Required Qualifications:

  • Unrestricted RN, Clinical Psychologist (PsyD/PhD), Licensed Clinical Social Worker (LCSW), Licensed Social Worker (LSW), Licensed Mental Health Counselor (LMHC) or Licensed Marriage and Family Therapist (LMFT) in the state of Hawaii
  • 3+ years of experience with Medicaid/Medicare populations, including LTC and TANF/CHIP
  • 3+ years of clinical or health coordination experience applicable to the Medicaid managed care population
  • 3+ years of experience in field-based case management
  • Intermediate level of proficiency with software applications including, MS Office Suite (Outlook, PowerPoint, Excel, Word, Project)
  • Reliable vehicle, current and unrestricted driver's license, and proof of auto insurance
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

  • BSN
  • Some experience in Utilization Management (acute and/or HCBS)
  • Experience working with the justice involved population

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is 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.

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

Job Keywords: Registered Nurse, RN, Nurse, LCSW, Social Worker, PsyD/PhD, LSW, LMHC, LMFT, Medicaid/Medicare populations, including LTC and TANF/CHIP,CM, CCM, Case Management, Field Case Management, Utilization Management, UM, HCBS, Care Coordinator,assessments, medical management consulting, O'ahu, HI, Hawaii

Community Transitions Coordinator - Telecommute in O'ahu, HI

United Health Group
Full Time

Published on 11/22/2021

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