Health & Social Services Clinical Coordinator – Telecommute in Tyler, TX

UnitedHealthcare is a company that’s on the rise. We’re expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn’t about another gadget, it’s about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life’s best work.(sm)

In this autonomous Health and Social Services Coordinator role, you will be an essential element of an Integrated Care Model by relaying pertinent information about member needs and advocating for the best possible care available, and ensuring the members have the right services to meet their individualized needs.

If you are located in the Tyler, TX, area, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Analyze, assess, plan and implement care strategies that are adapted to the patient and directed toward the most appropriate, least restrictive level of care
• Actively identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
• Act as a champion of member care plans throughout the continuum of care and act as a single point of contact
• Confidently communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Courageously advocate for patients and families to ensure the patient’s needs and choices are fully represented and supported by the health care team
• Assess members’ current health status by making outbound calls and receiving inbound calls
• Recognize gaps or barriers in treatment plans
• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
• Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
• Manage the care plan throughout the continuum of care as a single point of contact
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team

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:

• Registered Nurse in TX  
• 4+ years of clinical experience/ community health in a healthcare setting
• 1+ years of experience working with MS Word, Excel and Outlook
• Acute care experience
• Experience in long-term care, home health, hospice, public health or assisted living
• The ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers’ offices
• You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
• Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

• Background in managing populations with complex medical or behavioral needs
• Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs, Adults with complex needs
• Experience with electronic charting
• Experience with arranging community resources
• Prior field-based work experience
• Medicaid/Medicare experience

Careers 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.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.

Job Keywords:  Case Manager, RN, Nurse, Social Worker Nurse Case Manager, Clinical, Case Management, Medicare, Medicaid, Medicaid Waiver, MDS, Managed Care, Behavioral Health, Mental Health, Community Health, Long Term Care, LTC, Hospice, Public Health, Assisted Living , United Healthcare, UHC, Field Based, TX, Tyler, Texas