HSS Clinical Coordinator RN - Remote in Texas

REMOTE IN TEXAS

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. 

This is a fully remote position within the state of Texas.

Work Schedule: Monday - Friday, 8am - 5pm CST with flex scheduling option in the future

Areas: Minor home modifications, vehicle modifications, or adaptive aids for patients with HCBS waiver benefit in Texas

If you are located within the state of Texas, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Review and coordination of Minor Home Modification (MHM) and Vehicle Modifications for the HCBS Waiver Service Coordinators
• Review requests for benefit, including health and safety concerns
• Coordinate and conduct interdisciplinary meetings with service coordination, management and medical directors as needed for review
• Work collaboratively with vendors to coordinate initiation of MHM, progress and completion
• Work collaboratively with SC to facilitate review and completion of MHM/Vehicle Mod
• Identifies and resolves technical, operational and organizational problems within and outside own team
• Develops, translates and executes strategies or functional/operational objectives for UnitedHealthcare including medical management, financial accountability, customer and provider satisfaction, and quality improvement in accordance with state guidelines
• Works autonomously to identify issues, craft action plans and implement changes to positively impact business function
• Tracks and trends data, identifying opportunities for improvement and communicating effectiveness
• Identifies training opportunities and deficiencies and works closely with training team
• Identifies operational efficiencies to enhance operations and standardize best practices across the organization
• Confirms team compliance with all regulatory requirements
• Provides oversight and direction of MHM clinical admin staff
• Facilitates and strengthens relationships with providers within UHC network and identifies new providers to include in network
• This position will be a work at home position working Monday - Friday (days) with some flexibility in hours

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 and unrestricted RN license in the state of Texas
• 2+ years of experience working within the community health setting or in a health care role
• 2+ years of experience working in Medicaid and HCBS Star Plus Waiver program
• Intermediate level of proficiency with Microsoft Office, including Word, Excel, and Outlook
• High-speed internet at residence
• Must reside in the state of Texas

Preferred Qualifications:

• Understanding of the Minor Home Modification and ISP development process
• Computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software application
• Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations

Soft Skills:

• Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
• Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

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

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 $28.94 to $51.83 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.

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