Hybrid LTSS Case Manager (Home & Field)

Socket.dev; Delta (CO); Remote; USD 77,146,000 - 114,616,000; Full time

Benefits offered by this job

Benefits package

Equity stock purchase

401k contribution

Job summary

UnitedHealthcare in Colorado offers a hybrid role in Delta focused on Long Term Services and Supports case management. The position involves intake, assessments, development of support plans, ongoing monitoring, and ensuring quality of care for members in their homes or facilities.

You will travel up to 50% within the assigned territory to visit members and providers, maintain confidentiality, complete assessments, and participate in required trainings.

Qualifications

• Bachelor’s degree in human behavioral science fields such as human services, social work, psychology, or public health.
• 5+ years of LTSS experience, or a combination of education and experience.
• 1+ years of experience with MS Office (Word, Excel, Outlook).
• Access to reliable transportation and ability to travel up to 50% within assigned territory.
• Reside locally to Delta, Hinsdale, or Gunnison County, CO or surrounding areas.

Responsibilities

• Intake/screening/referral, assessment/reassessment, development of support plans, on-going case management, monitoring of the Member’s 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.
• 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 Member’s condition/or as determined by the rules of the LTSS Program in which the Member is enrolled
• Conduct face-to-face contact with the Member’s at least every six months or more frequently if warranted by the Member’s 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 Member’s 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 Agreement’s 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 incumbent’s 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

Skills

MS Office (Word, Excel, Outlook)

Local travel up to 50%

Education

Bachelor’s degree in human behavioral science fields (human services, social work, psychology, public health)

5+ years LTSS experience or combination of education and experience

Job description

UnitedHealthcare in Colorado offers a hybrid role in Delta focused on Long Term Services and Supports case management. The position involves intake, assessments, development of support plans, ongoing monitoring, and ensuring quality of care for members in their homes or facilities.

You will travel up to 50% within the assigned territory to visit members and providers, maintain confidentiality, complete assessments, and participate in required trainings.