Position Description:Welcome to one of the toughest and mostfulfilling ways to help people, including yourself. We offer the latest tools,most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your life's best work.The Case Manager LPN for the STAR Kids program will manage the care of members in their homes or other community settings by completing in-person health assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent. The Service Coordinator will provide clinical and medical management services, including case management, health assessments, interventions, and discharge planning. This candidate may identify, coordinate or provide appropriate levels of care under the direct supervision of an RN or MD. Work is generally self-directed and not prescribed; this person will work from home when not completing face-to-face patient assessments in the field, so it will be important to function in a less structured work environment. Primary Responsibilities: Engaging members / families in person (in their homes or in a facility) to coordinate services, community resources, and treatment needs Travel in assigned territory as needed to complete member assessments; the rest of the time will be spent working in a home-based office Delivering a holistic approach to coordinated care based on the member's needs using a person centered philosophy Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file Creating, reviewing and revising care plans and focusing on a holistic approach Functioning as an advocate for member Collaborating with the member's PCP to deliver and coordinate necessary services Building relationships with members and their families; assisting them with coordination of health choices Ensuring cases are documented in a timely manner Coordination with other state agencies, community resources and providers
Required Qualifications:High School Diploma / GED (or higher) 3+ years recent experience as a case manager, home care, or clinical experience in acute or rehab care settingLVN License, must be current and unrestricted in state of Texas High Speed Internet access in home Strong computer proficiency (Microsoft Word, Microsoft Outlook, and Internet) with the ability to create, copy, edit, send, and saveAccess to reliable transportation that will enable you to travel to client and / or patient sites within a designated area Bilingual (Spanish)Ability to travel up to 50% of the timePreferred Qualifications: Pediatric experience Experience with Medicare and / or Medicaid MDCP (Medically Dependent Children's Program) Case Management experience Managed care experience CCM certification Experience with complex populationsCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV / AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.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.Keywords: UnitedHealth Group, Optum, Healthcare, LVN, Case Manager, home care, rehab setting, bilingual, pediatric experience, medicare, medicaid, MDCP
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.