Community & State Lock-In Coordinator - Remote in Missouri
Summary:
?ou must have a High School Diploma/GED, active LPN license in Missouri, 1+ years clinical experience, and intermediate computer skills.
?ou will review claims data, collaborate with the Medical Director on utilization, educate providers about the Lock-In program, and engage with the care team to understand community values.
At UnitedHealthcare, we?e 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.
As a Lock-In Coordinator you will work under the direction of the Associate Director | Clinical Utilization & Analysis. A high attention to detail is important for this role as you review claims data of medically complex members who may be experiencing significant addiction and/or behavioral health conditions.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am ?:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.
Travel is 0-10% within the state of Missouri
You?l enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
?eview member? claims data
?ork with Medical Director to discuss member utilization patterns
?iscuss and educate providers on health plan Lock-In program
?artner with care team (community, providers, internal staff)
?nowledge and continued learning of community cultures and values
What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together ?ompetitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include
?aid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
?edical Plan options along with participation in a Health Spending Account or a Health Saving account
?ental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
?01(k) Savings Plan, Employee Stock Purchase Plan
?ducation Reimbursement
?mployee Discounts
?mployee Assistance Program
?mployee Referral Bonus Program
?oluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
?ore information can be downloaded at: uhgbenefits
You?l 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
?igh School Diploma/GED (or higher)
?urrent & active LPN license in the state of Missouri
?+ years of clinical experience in a hospital direct care setting or case management
?ntermediate level of proficiency with Computers, typing, and entering and retrieving data in electronic clinical records
?eside within the state of Missouri
Preferred Qualifications
?achelor? Degree (or higher) in a health-related field
?revious care management experience
?xperience working in Managed Care
?nowledge of Medicaid and/or Medicare population
?xperience with vulnerable subpopulations including members with homelessness, substance use disorders and other complex chronic conditions
?roficiency with Microsoft Excel (ability to create, edit, and sort spreadsheets, basic analytical formulas (VLOOKUP, if) and Microsoft Word (create and edit correspondence)
Soft Skills
?xperience with email, internet research, use of online calendars and other software applications
Telecommuting Requirements
?equired to have a dedicated work area established that is separated from other living areas and provides information privacy
?bility to keep all company sensitive documents secure (if applicable)
?ust live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
?ll Telecommuters will be required to adhere to UnitedHealth Group? Telecommuter Policy.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone?f every race, gender, sexuality, age, location and income?eserves 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 ?n enterprise priority reflected in our mission.
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.
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