Care Coordinator - Optum NY

Opportunities With Optum In The Tri-State Region

Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing Together.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

The role of the Case Management Care Coordinator is to assist the Medical Management team and physicians in the on-going monitoring of complex patients that includes but is not limited to:

• Identify psychosocial needs and interventions for patient's condition
• Proactively help prevent patient ER and acute admissions, when possible, by emphasizing prevention of exacerbations and complications utilizing cost-effective evidence-based practice guidelines and social service interventions including patient self-management
• Facilitate the improvement of patient compliance via telephonic follow-up and other alternative or non-traditional methods
• Help to improve patient satisfaction which includes supporting the physician/patient relationship and plan of care
• Assist in maximizing patient access to quality health care via coordination with PCPs, Specialists, social services, home health, health education, and laboratory services

Responsibilities And Functions:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

• Assist with development and maintain social service program, drafting supporting policies, procedures, and guidelines for the program
• Telephonically assess patient psychosocial status
• Communicates with physicians to report patient progress, needs, concerns, and potential and actual problems
• Works closely with all members of the healthcare team in development of the plan of treatment based on psychosocial assessment and accepted social work interventions
• Provide social work services including, short-term counseling, community resource planning, and crisis intervention
• Acts as a resource for other members of the healthcare team
• Develops and maintains thorough knowledge of referral resources throughout the service area
• Report to Case Management Nurse variances in patient's condition, medications, or treatment
• Telephonically monitor patient on a regular basis regarding psychosocial needs, education, and compliance with treatment plan
• Maintains up to date knowledge of Medicare, Medicaid, and other third-party reimbursement sources
• Provides positive customer relations with patients, families, physicians, team members, hospital departments, referral resources, service agencies and others
• Refer to health education and other service departments as necessary
• Complete all required documentation in a timely manner according to department policy
• Refer patient to outside community resources, classes, education, etc. as appropriate
• Case closure as appropriate
• Collect data necessary for Case Management reports/studies
• Attend Case Management meetings and trainings as appropriate
• Other duties as needed

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:

• Graduate of an accredited Master's degree Social Work program OR Bachelor's in Social work with 5+ years of solid clinical background with broad range of experience in health care delivery setting (hospital, clinic, physician's office)
• Licensed Clinical Social Worker (LCSW)
• Unrestricted current Social Worker license in applicable state
• 3+ years of solid clinical background with broad range of experience in health care delivery setting (hospital, clinic, physician's office)
• 2+ years of experience with health plan care coordination
• Experience with Electronic Health Records
• Proficient in Microsoft Office Suite, Adobe Products
• Ability to travel to home office as necessary for training, meetings, or as requested by Supervisor/Manager
• Ability to work with a multi-disciplinary team

Preferred Qualifications:

• Licensed Clinical Social Worker (LCSW)
• Experience in a remote/telecommuter work setting
• Background in behavioral health
• Excellent interpersonal and communication skills (both written and oral)
• Solid critical thinking and decision-making skills

Physical & Mental Requirements:

• Ability to lift up to 25 pounds
• Ability to sit for extended periods of time
• Ability to stand for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

All employees working remotely 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). The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.