Community & State Lock-In Coordinator - Remote in Missouri
Company: UnitedHealthcare
Location: Blue Springs
Posted on: October 14, 2024
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Job Description:
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. - -
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
- 5:00pm. It may be necessary, given the business need, to work
occasional overtime or weekends. -
Travel is 0-10% within the state of Missouri
You'll enjoy the flexibility to telecommute* from anywhere within
the U.S. as you take on some tough challenges. -
Primary Responsibilities: -
Review member's claims data
Work with Medical Director to discuss member utilization
patterns
Discuss and educate providers on health plan Lock-In program
Partner with care team (community, providers, internal staff)
Knowledge and continued learning of community cultures and
values
What are the reasons to consider working for UnitedHealth 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: -
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: -
High School Diploma/GED (or higher)
Current & active LPN license in the state of Missouri -
1+ years of clinical experience in a hospital direct care setting
or case management
Reside within the state of Missouri
Preferred Qualifications: -
Bachelor's Degree (or higher) in a health-related field
Previous care management experience
Experience working in Managed Care
Knowledge of Medicaid and/or Medicare population
Experience with vulnerable subpopulations including members with
homelessness, substance use disorders and other complex chronic
conditions
Proficiency with Microsoft Excel (ability to create, edit, and sort
spreadsheets, basic analytical formulas (VLOOKUP, if) and Microsoft
Word (create and edit correspondence)
Soft Skills: -
Experience with email, internet research, use of online calendars
and other software applications -
Telecommuting Requirements: -
Required to have a dedicated work area established that is
separated from other living areas and provides information
privacy
Ability to keep all company sensitive documents secure (if
applicable)
Must 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. -
*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. -
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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. -
#RPO #RED
Keywords: UnitedHealthcare, Overland Park , Community & State Lock-In Coordinator - Remote in Missouri, Other , Blue Springs, Kansas
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