Care Coordinator - Choices Program! (Putnam County - Middle Tennessee)
Location: Nashville Tennessee
Description: UnitedHealth Group is at the momment seeking for Care Coordinator - Choices Program! (Putnam County - Middle Tennessee) right now, this career will be placed in Tennessee. More details about this career opportunity kindly read the description below. Apply for this position with your eyes wide open. Click here to view the Realistic Job Preview: UHC Community & State Field_Based_Case_Manager.pdf
United HealthGroup Community, CHOICES program offers person-centered care planning, service coordination and support services for members receiving long-term care (LTC) and home and community (HCBS) services. The care coordinator is responsible for facilitating, promoting and advocating for the member's ongoing self-sufficiency and independence. Additionally, the care coordinator is responsible for sustaining the natural supports of the member. This includes but is not limited to assessing the availability of natural supports, representative or family members to ensure the ongoing mental and physical health of those natural supports.
Grand Region Travel - ≥90%
Statewide Travel - 5-10%
Responsibilities:
Conduct thorough and objective initial and ongoing face-to-face assessments of the member within specific mandated intervals to determine current status and needs, including physical, behavioral, functional, psychosocial and financial and health status expectation Conduct monthly telephonic, quarterly face-to-face and other additional assessments as needed to address member change in condition, on HCBS members Conduct quarterly telephonic or on-site grand rounds on Nursing Facility (NF) members experiencing changes in condition Identify members with the potential for high-risk complications and coordinate the appropriate supported self care in conjunction with the member and care coordination team Act as an advocate for an individual's care needs by identifying and communicating opportunities for care interventions, including identifying and addressing functional deficits and gaps in care Develops member specific Plan of Care that will be utilized to obtain authorizations for appropriate home and community based services, collaborating with CMA staff to obtain authorization for those services and confirms that services are being provided and the member's needs are being met Management of critical transitions, supporting legacy discharge planning staff with member transition to the home setting For members transitioning to a setting other than a community-based residential alternative (CBRA) setting, monitor the initiation and daily provision of services in accordance with the member's plan of care and take the immediate action to resolve gaps in care Develop and implement targeted strategies to improve health, functional or quality of life outcomes, such as disease management or pharmacy management Serve as a point of contact for coordination of all physical health, behavioral health and other home and community based services Proactively educate members about the program, including opportunities for consumer direction of HCBS and obtain necessary consents for participation Coordinate with the Fiscal Employer Agent (FEA) for consumer direction members, as needed Monitor hospitalizations and institutional facility admissions and re-admissions to identify issues and implement strategies to improve outcomes Provide assistance in resolving concerns about service delivery or providers Coordinate with member's primary care provider, specialists and other providers and care programs to ensure comprehensive, holistic, person-centered approach to care; Compare member's plan of care to establish pathways to determine variances and then intervene as indicated Routinely assess and monitor member's status, needs and progress; if progress is static or regressive, determine reason and proactively encourage appropriate adjustments to their plan of care, providers and/or services to promote better outcomes Report quantifiable impact, quality of care and/or quality of life improvements as measured against the care coordination goals Establish and maintain professional working relations with referral sources, community resources and care providers Collaborates with the peers on member admissions, transitioning and/or discharge planning
UnitedHealthcare Community & State is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to UnitedHealth Group.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Sat, 18 Aug 2012 02:05:57 GMT
Apply Care Coordinator - Choices Program! (Putnam County - Middle Tennessee) Here
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