Conduct face-to-face assessments with Medicaid members in homes and community settings, identify unmet needs, coordinate services, develop service plans, advocate for appropriate care, and maintain timely documentation in accordance with state requirements. The role requires travel up to 75% within the assigned area and regular use of Microsoft Office for documentation and communication.
Requisition Number: 2398075
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.
In this Field Based HSS Coordinator role will be an essential element of an Integrated Care Model by relaying the pertinent information about the member's needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. This is a Field Based position with a Home-Based office.
If you reside within 100 miles from Hidalgo County, TX and surrounding areas you will have the flexibility to work on an office-based/Field schedule as you take on some tough challenges.
Primary Responsibilities:
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Preferred Qualifications:
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 hourly pay for this role will range from $24.00 to $43.00 per hour 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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
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.
In this Field Based HSS Coordinator role will be an essential element of an Integrated Care Model by relaying the pertinent information about the member's needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. This is a Field Based position with a Home-Based office.
If you reside within 100 miles from Hidalgo County, TX and surrounding areas you will have the flexibility to work on an office-based/Field schedule as you take on some tough challenges.
Primary Responsibilities:
- Complete face-to-face assessments in members' homes to address unmet needs
- Travel up to 75% of the time, including travel up to 100 miles from the assigned work location, to meet business needs
- Meet documentation and turnaround times based on state contractual requirements
- Time management and organizational skills
- Coordinating members' services
- Ability to create, edit, save and send documents, spreadsheets and emails
- Reside within commutable distance of assigned duties
- Works on Service Plan
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Must possess one of the following:
- High School Diploma/GED AND 5+ years of experience working with ABD/SSI population within a clinical health care role
- Associate's degree with 3+ years of clinical experience
- Unrestricted LPN/LVN license in the state of TX with 3+ years of clinical experience
- CHW certification with 3+ years of clinical experience
- Intermediate level of proficiency with Microsoft Office, including Word, Excel, and Outlook
- High speed internet in place of residence
- Access to reliable transportation and valid US driver's license with the ability to travel up to 75% of the time in this 'assigned area' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices
Preferred Qualifications:
- LVN/LPN License in state of Texas
- Ability to create, edit, save and send documents, spreadsheets and emails
- Reside within commutable distance of assigned duties
- Works on Service Plan
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 hourly pay for this role will range from $24.00 to $43.00 per hour 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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
Similar Jobs at Optum
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Develop and manage physician and facility provider networks, negotiate reimbursement contracts, maintain network adequacy and specialty distribution, and control unit costs. The role uses actuarial and financial models to set targets and negotiate provider rates, ensures compliance with contracting standards, analyzes network performance, and builds relationships with healthcare providers. It is remote within the United States, with Texas residency preferred.
Top Skills:
Actuarial ModelsClaims Processing SystemsFinancial ModelsMedicare Resource Based Relative Value System (Rbrvs)
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Leads clinical implementation of invasive cardiology solutions, including workflow analysis, application optimization, customer readiness, training, documentation, issue tracking, and go-live support. Partners with customer stakeholders and internal teams to tailor implementations, deliver Super User training, identify workflow improvements, and support successful application adoption. Requires recent cath lab experience, clinical credentials, healthcare systems knowledge, strong presentation skills, and approximately 75% travel across North America.
Top Skills:
Artificial Intelligence (Ai)Change Healthcare CardiologyDicomEnterprise Imaging SolutionsHl7Microsoft PowerpointPacs
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provides medical leadership for claims review, evaluating surgical and professional claims for coding accuracy and medical necessity. Conducts provider discussions, prepares clinical rationales, supports regulatory compliance, participates in consistency reviews, and provides clinical guidance to initial-review staff. The role requires an actively licensed, board-certified Otolaryngology physician and offers fully remote work within the United States.
Top Skills:
Claims SoftwareClinical SoftwareExcelMicrosoft PowerpointMicrosoft Word
What you need to know about the Seattle Tech Scene
Home to tech titans like Microsoft and Amazon, Seattle punches far above its weight in innovation. But its surrounding mountains, sprinkled with world-famous hiking trails and climbing routes, make the city a destination for outdoorsy types as well. Established as a logging town before shifting to shipbuilding and logistics, the Emerald City is now known for its contributions to aerospace, software, biotech and cloud computing. And its status as a thriving tech ecosystem is attracting out-of-town companies looking to establish new tech and engineering hubs.
Key Facts About Seattle Tech
- Number of Tech Workers: 287,000; 13% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Amazon, Microsoft, Meta, Google
- Key Industries: Artificial intelligence, cloud computing, software, biotechnology, game development
- Funding Landscape: $3.1 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Madrona, Fuse, Tola, Maveron
- Research Centers and Universities: University of Washington, Seattle University, Seattle Pacific University, Allen Institute for Brain Science, Bill & Melinda Gates Foundation, Seattle Children’s Research Institute
