At UnitedHealthcare, we're 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. You push yourself to reach higher and go further. Because for you, it's all about ensuring a positive outcome for patients. In this role, you'll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you'll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.
In this
Transition Specialist role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. If you are in Travis service area or in the Austin, TX, area, you will have the unique opportunity to support members through the Texas Promoting Independence Initiative move from institutional into the community.
Field based position with home-based office. Travel up to 75%
Primary Responsibilities: - Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive community-based setting
- Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
- Provide pilot services including Cognitive Adaptation Training (CAT), other intensive psychosocial rehabilitation and transition services
- Complete specified screening instruments on each member every six months in the program
- Communicate and coordinate with member's assigned service coordinator twice monthly to ensure continuity of care
- Participate in all training activities and learning community with all stakeholders (HHS, third party evaluators, members, etc.)
- 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
- Make outbound calls and receive inbound calls to assess members' current health status
- Identify gaps or barriers in treatment plans
- Assist with providing housing option and collecting documents
- Conduct in person visits/assessments
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: - Bachelor's Degree in health, social services or a related field (or higher) AND 1+ years of relevant experience in assisting people in transitioning from institutional settings to the community
- 3+ years of experience working within the community health setting in a health care role
- 1+ years of experience working with persons with a serious mental illness (SMI) and/or experience of mental illness
- 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
Preferred Qualifications: - Master-level Social Worker (LMSW, LCSW) or Professional Counselor, Licensed Bachelor Social Worker (LBSW), Provisionally Licensed Psychologist (PLP), or Licensed Psychological Associate (LPA) licensed to practice in Texas
- A background in managing populations with complex medical or behavioral needs
- 5+ years of experience working with MS Word, Excel, and Outlook
- Case management experience
- 5+ years of experience documenting in an electronic documentation system
- Certified Case Manager (CCM)
- Experience in discharge planning
- Experience with arranging community resources
All Telecommuters will be required to adhere to UnitedHealth Group's 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-of every race, gender, sexuality, age, location and income-deserves 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.
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.
