LTSS Case Manager - Remote in Freemont and Custer Counties, CO and surrounding areas

UnitedHealthcare; Cañon City (CO); Remote; Full time

Job summary

Join a leading health care organization as a Case Manager, where you'll provide vital Long Term Services and Supports (LTSS) to improve community well-being. This role involves conducting assessments, managing cases, and ensuring compliance with legal requirements. You'll have the flexibility to work remotely if you reside near Fremont and Custer Counties, CO. The position offers a rewarding environment with opportunities for growth and performance recognition.

Benefits

Comprehensive benefits packages

Incentive programs

Stock purchase options

401k contributions

Qualifications

• 5+ years of relevant LTSS experience can substitute for education.
• Reliable transportation and ability to travel up to 25-30%.

Responsibilities

• Conduct intake, screening, referral, assessment, and develop support plans.
• Monitor members' health and welfare, document contacts and activities.
• Travel required; must meet licensure and insurance requirements.

Skills

MS Office

Education

Bachelor's degree in human services

Bachelor's degree in nursing

Bachelor's degree in social work

Bachelor's degree in psychology

Bachelor's degree in public health

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.

Position Overview: This role supports corporate objectives by utilizing demonstrated competency in Long Term Services and Supports (LTSS) to provide Case Management services. The position involves participating in case conferences with the Supervisor.

If you reside near Fremont and Custer Counties, CO, you will have the flexibility to work remotely* as you take on challenging cases.

Primary Responsibilities:

1. Conduct intake, screening, referral, assessment/reassessment, develop support plans, provide ongoing case management, monitor members' health and welfare, document contacts and activities, develop resources, and close cases.
2. Maintain confidentiality of patient information as per the UHG Employee Handbook and all legal requirements.
3. Perform monitoring contacts as prescribed, at least quarterly or more frequently based on the member's condition.
4. Conduct face-to-face contacts at least every six months, updating assessments and plans as needed.
5. Complete reassessments annually or more frequently if warranted, and additional assessments as required.
6. Monitor the delivery of services and supports as outlined in the Support Plan and Prior Authorization Requests.
7. Attend training sessions provided by the Department and agency in-service and staff development programs.
8. Ensure all work complies with the CMA Contract Agreement, including accuracy, timeliness, and completeness.
9. Immediately refer suspected cases of mistreatment, abuse, neglect, or exploitation to appropriate protective services or law enforcement.
10. Take on special assignments and projects as needed, including system assessments and development.
11. Travel is required; must have reliable transportation and meet licensure and insurance requirements if driving.
12. This position addresses efforts focused on medical, behavioral, and social health determinants to improve community well-being.

We offer a rewarding environment with performance recognition, clear success pathways, and development opportunities.

Required Qualifications:

• Either a Bachelor's degree in human services, nursing, social work, psychology, or public health, OR 5+ years of relevant LTSS experience.
• At least 1 year of experience with MS Office applications.
• Reliable transportation and ability to travel up to 25-30% within the territory.
• Reside near Fremont/Custer Counties.

Preferred Qualifications:

• Experience as a caseworker or case manager with LTSS populations, in either private or public agencies, may substitute for education on a year-for-year basis.
• Physical ability to move between office and field locations, navigate terrains, and transport equipment.

*Remote work must adhere to UnitedHealth Group's Telecommuter Policy.

The hourly rate ranges from $23.70 to $46.35, based on full-time employment, location, experience, and other factors. Benefits include comprehensive packages, incentive programs, stock purchase options, and 401k contributions. Benefits are subject to eligibility.

Application deadline is at least 2 business days from posting or until a suitable candidate pool is reached.

Our mission is to help people live healthier lives and improve health equity. We are committed to diversity, environmental sustainability, and reducing health disparities, aligning with our enterprise priorities.

UnitedHealth Group is an Equal Opportunity Employer and a drug-free workplace, requiring drug testing prior to employment.