Optum
Care Coordinator Onsite (Hybrid RN/PT/OT/ST) Columbus, IN
Optum, Columbus, Indiana, United States, 47203
Care Coordinator - Onsite
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individuals physical, mental and social needs
helping patients access and navigate care anytime and anywhere. As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. Were connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the companys technical vision and strategy. The Care Coordinator - Onsite plays an integral role in optimizing patients recovery journeys. The Care Coordinator- Onsite 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 Clinical Review Coordinator- Onsite is responsible for ensuring efficient, smooth, and prompt transitions of care. Primary responsibilities include: Serving as the link between patients and the appropriate health care personnel, ensuring efficient, smooth, and prompt transitions of care. Performing Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically. Reviewing target outcomes, and discharge plans with providers and families. Completing all SNF concurrent reviews, updating authorizations on a timely basis. Collaborating effectively with the patients health care teams to establish an optimal discharge. Assurance of patients progress toward discharge goals and assisting in resolving barriers. Participating weekly in SNF Rounds providing accurate and up to date information. Assurance of appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. Engaging with patients, families, or caregivers either telephonically or on-site weekly and as needed. Attending patient/family care conferences. Assessing and monitoring patients continued appropriateness for SNF setting according to CMS criteria. When H&C Transitions is delegated for utilization management, review referral requests that cannot be approved for continued stay and forward to licensed physicians. Coordinating peer to peer reviews with H&C Transitions Medical Directors. Supporting new delegated contract start-up to ensure experienced staff work with new contracts. Managing assigned caseload in an efficiently and effectively utilizing time management skills. Entering timely and accurate documentation. Daily review of census and identification of barriers to managing independent workload and ability to assist others. Reviewing monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager. Adhering to organizational and departmental policies and procedures. Maintaining confidentiality of all PHI information in compliance with HIPPA, federal and state regulations. Completing cross-training and maintaining knowledge of multiple contracts/clients. Keeping current on federal and state regulatory policies related to utilization management. Promoting a positive attitude and work environment. Attending H&C Transitions meetings as requested. Holding patients protected health information confidential as required by applicable laws. Performing other duties and responsibilities as required. Youll 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 include: 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. Candidate hired will support specific location(s) for on-site facility needs. Reside within or near Columbus, IN. Drivers License and access to a reliable transportation. Preferred qualifications include: Patient education background, rehabilitation, and/or home health nursing experience. Experience working with the geriatric population. Familiarity with care management, utilization/resource management processes and disease management programs. Proficient with Microsoft Office applications including Outlook, Excel and PowerPoint. Proven to be detail-oriented. Proven to be a 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. Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously. Work conditions and physical requirements include: Ability to establish a home office workspace. Ability to manipulate laptop computer (or similar hardware) between office and site settings. Ability to view screen and enter data into a laptop computer. Ability to communicate with clients and team members. Ability to remain stationary for extended time periods. Ability to mobilize to and within sites within an assigned local or regional market/area. About H&C Transitions
H&C Transitions, part of Optum and the UnitedHealth Group family of businesses, combines 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 delivered 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. 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). The hourly pay for this role will range from $34.23 to $61.15 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 everyoneof every race, gender, sexuality, age, location and incomedeserves 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.
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individuals physical, mental and social needs
helping patients access and navigate care anytime and anywhere. As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. Were connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the companys technical vision and strategy. The Care Coordinator - Onsite plays an integral role in optimizing patients recovery journeys. The Care Coordinator- Onsite 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 Clinical Review Coordinator- Onsite is responsible for ensuring efficient, smooth, and prompt transitions of care. Primary responsibilities include: Serving as the link between patients and the appropriate health care personnel, ensuring efficient, smooth, and prompt transitions of care. Performing Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically. Reviewing target outcomes, and discharge plans with providers and families. Completing all SNF concurrent reviews, updating authorizations on a timely basis. Collaborating effectively with the patients health care teams to establish an optimal discharge. Assurance of patients progress toward discharge goals and assisting in resolving barriers. Participating weekly in SNF Rounds providing accurate and up to date information. Assurance of appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. Engaging with patients, families, or caregivers either telephonically or on-site weekly and as needed. Attending patient/family care conferences. Assessing and monitoring patients continued appropriateness for SNF setting according to CMS criteria. When H&C Transitions is delegated for utilization management, review referral requests that cannot be approved for continued stay and forward to licensed physicians. Coordinating peer to peer reviews with H&C Transitions Medical Directors. Supporting new delegated contract start-up to ensure experienced staff work with new contracts. Managing assigned caseload in an efficiently and effectively utilizing time management skills. Entering timely and accurate documentation. Daily review of census and identification of barriers to managing independent workload and ability to assist others. Reviewing monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager. Adhering to organizational and departmental policies and procedures. Maintaining confidentiality of all PHI information in compliance with HIPPA, federal and state regulations. Completing cross-training and maintaining knowledge of multiple contracts/clients. Keeping current on federal and state regulatory policies related to utilization management. Promoting a positive attitude and work environment. Attending H&C Transitions meetings as requested. Holding patients protected health information confidential as required by applicable laws. Performing other duties and responsibilities as required. Youll 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 include: 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. Candidate hired will support specific location(s) for on-site facility needs. Reside within or near Columbus, IN. Drivers License and access to a reliable transportation. Preferred qualifications include: Patient education background, rehabilitation, and/or home health nursing experience. Experience working with the geriatric population. Familiarity with care management, utilization/resource management processes and disease management programs. Proficient with Microsoft Office applications including Outlook, Excel and PowerPoint. Proven to be detail-oriented. Proven to be a 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. Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously. Work conditions and physical requirements include: Ability to establish a home office workspace. Ability to manipulate laptop computer (or similar hardware) between office and site settings. Ability to view screen and enter data into a laptop computer. Ability to communicate with clients and team members. Ability to remain stationary for extended time periods. Ability to mobilize to and within sites within an assigned local or regional market/area. About H&C Transitions
H&C Transitions, part of Optum and the UnitedHealth Group family of businesses, combines 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 delivered 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. 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). The hourly pay for this role will range from $34.23 to $61.15 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 everyoneof every race, gender, sexuality, age, location and incomedeserves 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.