Santa Fe, New Mexico
Raleigh, North Carolina
San Mateo, California
Indianapolis, Indiana
Posted: 18-Dec-24
Location: Greensboro, North Carolina
Categories:
Internal Number: 145265869
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
We are looking for a Clinical Care Coordinator as an addition to the Practice Extend Team. You will work alongside our Care Team’s Clinical Pharmacist and Clinical Administrative Coordinator to improve the health outcomes of the patients we serve. Practice Extend Care Coordinator is responsible for ongoing care coordination of patients attributed to Providers/Provider Practices participating in OptumInsight Practice Extend Program. The Care Coordinator drives referral management and appropriate sites of service; facilitates Care Transitions and care for High-Risk patients; collaborates with PCP, specialists, and Practice Extend Clinical Pharmacist to ensure appropriate, coordinated service delivery. This position integrates medication therapy management, care coordination, utilization management, and care transition management.
If you reside in the Eastern time zone, you will enjoy the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
- Work with a Care Team of a Clinical Pharmacist and Clinical Administrative Coordinator to support patient and provider engagement for Care Transitions Management, Care Coordination, and Medication Therapy Management
- Facilitate inpatient discharge information to Care Team and Primary Care Offices using appropriate technology tools
- Consult with patients who have had an inpatient/ER discharge; facilitate scheduling transitions of care follow up appointments with PCP and/or specialists?
- Engage high-risk patients telephonically to schedule appointments with Clinical Pharmacist for Comprehensive Medication Reviews
- Prepare patient cases in workflow management platform for Clinical Pharmacist patient engagement
- Consult with patients identified as needing a specialist referral to recommend high quality, lower cost Premium Designated specialists
- Support high-risk patients by scheduling PCP and/or specialist appointments on their behalf
- Provide benefit information and resources to patients upon request
- Track completion of provider appointments with ongoing communication to patients while discussing adherence with care plan?
- Communicate with provider offices to problem-solve patient issues and/or facilitate communication between practice staff and Care Team
- Notify PCP and Care Team Clinical Pharmacist of relevant clinical information gathered during calls to patient that may affect the patient’s disease state or medication regimen
- Develop strong relationships with provider offices participating with Practice Extend program by communicating program goals, patient needs, and value-based opportunities
- Facilitate and/or lead meetings with provider offices for initial onboarding meetings and ongoing collaboration meetings
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
- More information can be downloaded at: http://uhg.hr/uhgbenefits
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:
- Bachelor’s Degree (or higher)
- Unrestricted licensure as a Registered Nurse
- Compact RN Licensure
- 4+ years Case Management and/or Care Coordination experience with populations with complex medical or behavioral needs
- Intermediate level of proficiency knowledge of Microsoft Office, Outlook, and Teams applications; ability to quickly learn clinical applications
- Able to travel up to 10% to local office(s) to accommodate business needs
Preferred Qualifications:
- Clinical or Behavioral Health degree
- Background in healthcare setting with an understanding of chronic conditions and best practices
- Ability to provide proactive clinical feedback to enhance quality patient engagement and program growth
Soft Skills:
- Strong emotional intelligence with ability to remain focused and calm when navigating many tasks in a fast-paced environment
- Strong communication skills with patients, providers, and other healthcare professionals
- Ability to work flexible schedule to accommodate business needs
- Able to take initiative and work independently
- Adaptable, flexible, and able to incorporate frequent process changes into established workflows within a fast-paced, dynamic environment
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Maryland, Washington, or Washington D.C Residents Only: The salary range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Maryland, Washington, or Washington D.C residents is $58,300 to $114,300 per year. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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.
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.
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