Case Manager -Long Term Service- Field Hinsdale Counties
Position: Case Manager -Long Term Service- Field Work in Delta, Hinsdale, or Gunnison Counties - CO
Location: Gunnison
At United Healthcare, were 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.
Position in this function supports corporate objectives by utilizing a demonstrated competency of Long Term Services and Supports to provide Case Management. Participates in case conferences with the Supervisor.
If you are located within Delta, Hinsdale, or Gunnison Counties, CO, you will have the flexibility to work remotely
as you take on some tough challenges.
Primary Responsibilities:
Intake/screening/referral, assessment/reassessment, development of support plans, on-going case management, monitoring of the Members health and welfare, documentation of contacts and case management activities in the Department-prescribed system, resource development, and case closure
Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. Maintain confidentiality of patient information. The ability to maintain confidentiality is a critical and essential component of this position
Conduct monitoring contacts as prescribed by the Department. Contact the Member at least once within each quarterly period or more frequently as warranted by the Members condition /or as determined by the rules of the LTSS Program in which the Member is enrolled
Conduct face-to-face contact with the Members at least every six months or more frequently if warranted by the Members condition or the rules of the LTSS Program in which the Member is enrolled. Update the current approved assessment tool and care or support plan in the appropriate documentation system(s) to reflect any changes in condition or services
Complete a new assessment during a face-to-face reassessment annually or more frequently if warranted by the Members condition or if required by the rules of the LTSS Program in which the Member is enrolled. Complete additional assessments as needed/required
Monitor the delivery of services and supports identified within the Support Plan and the Prior Authorization Request (PAR)
Attend Department provided training for CMA agencies as well as agency provided in-service and staff development training
Responsible to conduct Work that is in accordance with the CMA Contract Agreements requirements. This includes but is not limited to, providing Work that is accurate, timely, and complete
In the event, at any time throughout the case management process, the case manager suspects an individual to be a victim of mistreatment, abuse, neglect, exploitation or a harmful act, the case manager shall immediately refer the individual to the protective services section of the county department of social services of the individual's county of residence and/or the local law enforcement agency
May take on special assignments and projects on an as needed basis. Assist with system assessment and development as needed
This position requires travel. Requires independent, reliable, flexible, and on-demand, transportation at the incumbents expense for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage
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
#J-18808-Ljbffr
Apply Now
Location: Gunnison
At United Healthcare, were 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.
Position in this function supports corporate objectives by utilizing a demonstrated competency of Long Term Services and Supports to provide Case Management. Participates in case conferences with the Supervisor.
If you are located within Delta, Hinsdale, or Gunnison Counties, CO, you will have the flexibility to work remotely
as you take on some tough challenges.
Primary Responsibilities:
Intake/screening/referral, assessment/reassessment, development of support plans, on-going case management, monitoring of the Members health and welfare, documentation of contacts and case management activities in the Department-prescribed system, resource development, and case closure
Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. Maintain confidentiality of patient information. The ability to maintain confidentiality is a critical and essential component of this position
Conduct monitoring contacts as prescribed by the Department. Contact the Member at least once within each quarterly period or more frequently as warranted by the Members condition /or as determined by the rules of the LTSS Program in which the Member is enrolled
Conduct face-to-face contact with the Members at least every six months or more frequently if warranted by the Members condition or the rules of the LTSS Program in which the Member is enrolled. Update the current approved assessment tool and care or support plan in the appropriate documentation system(s) to reflect any changes in condition or services
Complete a new assessment during a face-to-face reassessment annually or more frequently if warranted by the Members condition or if required by the rules of the LTSS Program in which the Member is enrolled. Complete additional assessments as needed/required
Monitor the delivery of services and supports identified within the Support Plan and the Prior Authorization Request (PAR)
Attend Department provided training for CMA agencies as well as agency provided in-service and staff development training
Responsible to conduct Work that is in accordance with the CMA Contract Agreements requirements. This includes but is not limited to, providing Work that is accurate, timely, and complete
In the event, at any time throughout the case management process, the case manager suspects an individual to be a victim of mistreatment, abuse, neglect, exploitation or a harmful act, the case manager shall immediately refer the individual to the protective services section of the county department of social services of the individual's county of residence and/or the local law enforcement agency
May take on special assignments and projects on an as needed basis. Assist with system assessment and development as needed
This position requires travel. Requires independent, reliable, flexible, and on-demand, transportation at the incumbents expense for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage
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
#J-18808-Ljbffr
Apply Now