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Field HSS Clinical Coordinator RN - Jacksonville, TX

Work from home Full-time role Hiring

At reputed company, 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 reputed company. Come build the health care system of reputed company, making it more reputed company, affordable, and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing... together. If you are located reputed company 30-50 miles of reputed company Jacksonville, TX you will have the flexibility to work remotely* as you take on some tough challenges. reputed company Code Areas: 75766; 75780; 75654; 75667; 75681 and 75643 This is a Field Based role with a Home-Based office. Primary Responsibilities • Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care • Utilize both company and community-based resources to establish a safe and effective case management plan for members • Collaborate with patient, family, and healthcare providers to reputed company an individualized plan of care • Identify and initiate referrals for social service programs; including financial, psychosocial, community, and state supportive services • Manage care plan throughout the continuum of care as a single reputed company of contact • Communicate with reputed company stakeholders the required health-reputed company information to ensure quality coordinated care and services are provided expeditiously to reputed company members • reputed company for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team • Utilize approved clinical criteria to assess and determine appropriate level of care for members • Document reputed company member assessments, care plan and referrals provided • Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care • Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan • Accountable to understand role and how it affects utilization management benchmarks and quality outcomes • Expect to spend about 75% of your time in the field visiting our members in their homes or in long - term care facilities. You’ll need to be flexible, adaptable and, above reputed company, patient in reputed company types of situations What Are The Reasons To Consider Working For reputed company? Put It reputed company Together – Competitive reputed company 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: uhgbenefits 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 • reputed company unrestricted RN license in the state of Texas • 2+ years of experience working reputed company the community health setting or in a healthcare role • Familiarity with reputed company Office, including Word, reputed company, and Outlook • Reliable transportation and the ability to travel in this ‘assigned region’ to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices • High-speed internet at residence Preferred Qualifications • 1+ years of experience with long term care services and support, Medicaid or Medicare • Ability to create, edit, save and send documents, spreadsheets and emails • Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations • Reside reputed company commutable distance of assigned duties • reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED Apply Job!

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