Care Coordinator – Onsite, Evergreen Park, IL – (Hybrid – RN/PT/OT/ST)

Requisition Number: 2342151
Job Category: Medical & Clinical Operations
Primary Location: Evergreen Park, IL, US

Doctor consulting nurse at nurse station.

Opportunities at Care Transitions, part of the Optum family of businesses. We combine the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. With millions of lives touched, we are innovating the way health care is provided from hospital to home so seniors can lead more fulfilling lives. A career with us means making an impact in the lives of those we serve, including vulnerable populations who benefit from care that is more efficient, more effective and more human. Our environment empowers our team members to elevate our interactions with each other and the experiences we deliver to our patients, giving them more days at home. Join our team, it’s your chance to improve the lives of millions as you discover the meaning behind Caring. Connecting. Growing together.

The Care Coordinator, Onsite plays an integral role in optimizing patients’ recovery journeys. The Care Coordinator completes weekly functional assessments and engages the post-acute care (PAC) inter-disciplinary care team to coordinate discharge planning to support the members PAC journey. The position engages patients and families to share information and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the Care Coordinator is responsible for ensuring efficient, smooth, and prompt transitions of care.

Primary Responsibilities:

  • By serving as the link between patients and the appropriate health care personnel, the Care Coordinator is responsible for ensuring efficient, smooth, and prompt transitions of care
  • Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. Collaborate effectively on discharge goals and assist in resolving barriers
  • Collaborate effectively with members health care teams with individualized communication and participation in interdisciplinary team meetings
  • Review target outcomes and discharge plans with providers and families
  • Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays
  • Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to CMS criteria
  • Complete all SNF continued stay reviews, updating authorizations on a timely basis
  • When Care Transitions is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forwarded to licensed physicians for review and issuance of the NOMNC when appropriate
  • Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business
  • Manage assigned caseload efficiently and effectively utilizing time management skills
  • Enter timely and accurate documentation into Coordinate
  • Adhere to organizational and departmental policies and procedures
  • Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws
  • Hold patients’ protected health information confidential as required by applicable laws, regulations, or agency/institution procedures
  • Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits)
  • Adhere to all local, state, and federal regulatory policies and procedures
  • Attend H&C Transitions meetings as requested
  • Promote a positive attitude and work environment
  • Perform other duties and responsibilities as required, assigned, or requested

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:

  • Active, unrestricted registered clinical license required in state of hire – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist 
  • 5+ years of clinical experience 
  • Ability to support specific location(s) for on-site facility needs within 30-mile maximum radius of home location based on manager discretion
  • Reside within or near the county listed on the job description
  • Driver’s License and access to reliable transportation

Preferred Qualifications:

  • Experience working with the geriatric population 
  • Familiarity with care management, utilization/resource management processes and disease management programs
  • Patient education background, rehabilitation, and/or home health nursing experience 
  • Proficient with Microsoft Office applications including Outlook, Excel and PowerPoint 
  • Proven detail-oriented 
  • Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously 
  • Proven team player 
  • Proven exceptional verbal and written interpersonal and communication skills 
  • Proven solid problem solving, conflict resolution, and negotiating skills 
  • Proven independent problem identification/resolution and decision-making skills

Work Conditions and Physical Requirements:

  • Dedicated, distraction-free space in home for home office
  • Access to high-speed internet from home (Broadband Cable, DSL, Fiber)
  • Ability to manipulate laptop computer (or similar hardware) between office and site settings 
  • Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time 
  • Ability to communicate with clients and team members including use of cellular phone or comparable communication device 
  • Ability to remain stationary for extended time periods (1 – 2 hours) 
  • Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time

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 $35.00 to $62.50 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

Additional Job Detail Information

Requisition Number 2342151

Business Segment Optum

Employee Status Regular

Job Level Individual Contributor

Travel No

Country: US

Overtime Status Non-exempt

Schedule Full-time

Shift Day Job

Telecommuter Position No

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