Field HSS Coordinator - LVN
Position: Field HSS Coordinator - LVN - Southwest/Southeast San Antonio, TX
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.
In this HSS Coordinator-LVN role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about member needs and advocating for the best possible care available, ensuring they have the right services to meet their needs.
If you are within the Southwest/Southeast side of San Antonio, TX around the South of highway 90 and over to highway 181, including the areas South Park Mall 78224, Lackland 78243, Mission Baptist 78235, or Brookside 78223, and can travel locally, you will have the flexibility to work remotely as you take on some tough challenges. Travel is required in local areas about 75% of the time based on business needs.
This is a field-based position with a home-based office.
Primary Responsibilities:
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.
Utilize both company and community-based resources to establish a safe and effective case management plan for members.
Collaborate with patients, families, and healthcare providers to develop an individualized plan of care.
Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services.
Manage care plans 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 healthcare team.
Utilize approved clinical criteria to assess and determine the appropriate level of care for members.
Document all member assessments, care plans, and referrals provided.
Participate in interdisciplinary team meetings and utilization management rounds and provide information to assist with safe transitions of care.
Understand insurance products, benefits, coverage limitations, and insurance and governmental regulations as it applies to the health plan.
Accountable to understand role and how it affects utilization management benchmarks and quality outcomes.
Expect to spend about 75% of your time in the field visiting our members in their homes or in long-term care facilities. Youll need to be flexible, adaptable, and, above all, patient in all types of situations.
What are the reasons to consider working for United Health Group?
Put it all together competitive 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:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays.
Medical Plan options along with participation in a Health Spending Account or a Health Saving account.
Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage.
401(k) Savings Plan, Employee Stock Purchase Plan.
Education Reimbursement.
Employee Discounts.
Employee Assistance Program.
Employee Referral Bonus Program.
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.).
More information can be downloaded at: (Use the "" box below)..
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
#J-18808-Ljbffr
Apply Now
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.
In this HSS Coordinator-LVN role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about member needs and advocating for the best possible care available, ensuring they have the right services to meet their needs.
If you are within the Southwest/Southeast side of San Antonio, TX around the South of highway 90 and over to highway 181, including the areas South Park Mall 78224, Lackland 78243, Mission Baptist 78235, or Brookside 78223, and can travel locally, you will have the flexibility to work remotely as you take on some tough challenges. Travel is required in local areas about 75% of the time based on business needs.
This is a field-based position with a home-based office.
Primary Responsibilities:
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.
Utilize both company and community-based resources to establish a safe and effective case management plan for members.
Collaborate with patients, families, and healthcare providers to develop an individualized plan of care.
Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services.
Manage care plans 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 healthcare team.
Utilize approved clinical criteria to assess and determine the appropriate level of care for members.
Document all member assessments, care plans, and referrals provided.
Participate in interdisciplinary team meetings and utilization management rounds and provide information to assist with safe transitions of care.
Understand insurance products, benefits, coverage limitations, and insurance and governmental regulations as it applies to the health plan.
Accountable to understand role and how it affects utilization management benchmarks and quality outcomes.
Expect to spend about 75% of your time in the field visiting our members in their homes or in long-term care facilities. Youll need to be flexible, adaptable, and, above all, patient in all types of situations.
What are the reasons to consider working for United Health Group?
Put it all together competitive 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:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays.
Medical Plan options along with participation in a Health Spending Account or a Health Saving account.
Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage.
401(k) Savings Plan, Employee Stock Purchase Plan.
Education Reimbursement.
Employee Discounts.
Employee Assistance Program.
Employee Referral Bonus Program.
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.).
More information can be downloaded at: (Use the "" box below)..
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
#J-18808-Ljbffr
Apply Now