Onsite Care Transitions Coordinator

UnitedHealth Group; Glendora (CA); On-site; USD 72,000 - 131,000; Full time

Job summary

Optum Home & Community Care is seeking a Care Coordinator, Onsite to help patients navigate the healthcare system and coordinate discharge planning for post-acute care. The role requires engaging patients and families weekly, collaborating with interdisciplinary teams, and ensuring timely transitions of care while maintaining HIPAA compliance.

The position emphasizes on-site work within a 30-mile radius of the home location, with responsibilities including SNF assessments, CMS criteria

Qualifications

• Active unrestricted clinical license in hire state (RN/PT/OT/SLP).
• 5+ years of clinical experience.
• Residence within 30-mile radius of the job location.
• Driver's license and reliable transportation.

Responsibilities

• Engage with patients, families, or caregivers weekly on-site or telephonically.
• Collaborate with health care teams in discharge planning and meetings.
• Review discharge plans with providers and families.
• Perform SNF assessments using CMS criteria at admission and during stay.
• Maintain accurate documentation and protect PHI per regulations.

Skills

Clinical license

Home health care

Discharge planning

Care coordination

CMS criteria

MS Office

Transportation availability

Tools

MS Office

Job description

Optum Home & Community Care is seeking a Care Coordinator, Onsite to help patients navigate the healthcare system and coordinate discharge planning for post-acute care. The role requires engaging patients and families weekly, collaborating with interdisciplinary teams, and ensuring timely transitions of care while maintaining HIPAA compliance.

The position emphasizes on-site work within a 30-mile radius of the home location, with responsibilities including SNF assessments, CMS criteria