Care Manager / LSW - Associate Care Coordinator

Optum; Presque Isle (ME); On-site; USD 50,000 - 89,000; Full time

Benefits offered by this job

Comprehensive benefits

401k contribution

Equity stock purchase

Job summary

Optum is seeking a hospital-based social work professional in Maine to support transition of care planning, discharge coordination, and post-discharge resource placement. The role requires a Bachelor's degree and Maine LSW license, with responsibilities spanning data collection, family engagement, and multidisciplinary collaboration.

The position emphasizes adherence to regulatory requirements and care management evolution, aiming to optimize patient outcomes and resource utilization in a

Qualifications

• Bachelor's degree required and licensed to practice in Maine (LSW)

Responsibilities

• Assessment of physical, psychosocial, and economic needs for transition of care planning to varying levels of care
• Documents, verifies, and validates data required to monitor and evaluate interventions and outcomes
• Interviews and collects patient data and reviews charts related to admission and discharge
• Communicates telephonically and electronically with outpatient providers to enhance continuum of care
• Follows hospital policies, procedures, and applicable laws and regulatory requirements
• Leads coordination of patient-centered care across the continuum and develops safe discharge plans with patients, caregivers and the healthcare team
• Maintains knowledge of care management, utilization review changes, and regulatory requirements; serves as an educational resource to Health System staff
• Assists in determining DRG length of stay, patient experience, and reimbursement
• Promotes patient advocacy in an independent care model
• Engages patient families and interdisciplinary team in discharge process for post-acute resources
• Participates in areas of expertise to advance social work within the hospital
• Performs duties related to discharge planning (e.g., options forms, agency referrals)
• Performs other duties as assigned or required

Education

Bachelor's degree

LSW license (Maine)

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities

• Assessment of physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care
• Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes
• Interviews and collect patient specified data and chart review related to admission and discharge
• Communicates telephonically and electronically with outpatient providers to enhance the continuum of care
• Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies
• Provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients / caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care
• Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization review
• rives to appropriate DRG length of stay, patient experience, and reimbursement for all patients
• Promotes patient advocacy in an independent care model
• Engages the patient family/significant other and interdisciplinary team in the discharge process to identify appropriate post-acute resources and community service follow-ups
• Actively participates in those areas of expertise to further enhance the role of social work within the hospital
• Completes duties as required for the purpose of discharge planning, i.e. options forms, agency referrals etc.
• Performs other duties as assigned or required

Required Qualification

• Bachelors degree
• Licensed by the state of Maine, LSW

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $49,700 to $88,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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