HSS Coordinator – Metairie, LA Market

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 HSS- LPN Clinical Care Coordinator will be the primary care manager for a panel of members with 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 are located within a commutable distance to the Metairie, LA market, you will have the flexibility to work remotely* as you take on some tough challenges.

 

Primary Responsibilities:

• Engage members face-to-face and/or 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
• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate level of care
• Identify, initiate, coordinate, and monitor referrals for psychosocial, behavioral, and medical services
• Manage the care plan throughout the continuum of care as a point of contact
• Communicate with 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 patient’s needs and choices are fully represented and supported by the health care team
• Adhere to meeting, goal targets as identified my management on an ongoing basis: Weekly, Monthly, and Quarterly
• Assesses and interprets customer needs and requirements
• Identifies solutions to non-standard requests and problems
• Problem solves members moderate to complex problems for optimal healthcare outcomes
• Work with minimal guidance and ability to seek guidance when necessary and / or identified for complex tasks
• Ability to translates concepts into practice
• Coaches, provides feedback, and guides others
• Acts as a resource and preceptor for others as needed
• Participate in all required Learn source and training as identified by management
• Adhere and operate according to organization policies and procedures for Clinical Services
   

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:

• Current, unrestricted independent licensure as a License Practical Nurse (LPN) in state LA
• 3+ years of clinical experience
• Intermediate proficiency in software applications to include Microsoft Word, Microsoft Excel, Microsoft PowerPoint
• Computer proficiency to enter/retrieve data in electronic clinical records, experience with email, internet research, use of online calendars
• Experience with electronic charting
• Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers
• Reside within a commutable distance of the Metairie, LA market

 

Preferred Qualifications: 

• Undergraduate degree or equivalent experience
• LPN with 5+ years of clinical experience
• 2+ years of community case management experience coordinating care for individuals with complex needs
• Demonstrated background in Managed Care
• Field-based work experience
• Experience working in Medicaid health care and insurance industry, including regulatory and compliance requirements
• Bilingual

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

 

The hourly range for this role is $23.70 to $46.35 per hour based on full-time employment. 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. 

 

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.