Coordinates post-hospitalization behavioral health follow-up care by contacting inpatient facilities, securing outpatient appointments, identifying barriers, providing community resources, supporting discharge planning, documenting outreach, and collaborating with providers, members, and internal teams to promote continuity of care and HEDIS performance.
Requisition Number: 2400675
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.Join us to start Caring. Connecting. Growing together.
The Senior Wellness Coordinator will focus on FUH (follow up after hospitalization) and meeting our HEDIS goals by assisting facilities to obtain aftercare appointments for our members who have been psychiatrically hospitalized and provide resources to facilities to assist them with discharge planning.
Schedule: Monday through Friday a 40-hour work week between the hours of 6:00 am to 6:00 pm standard business hours in the time zone related to the work (market)(CST)
Location: Remote Nationwide
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base 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:
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:
Soft Skills:
*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 $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #GREEN
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.Join us to start Caring. Connecting. Growing together.
The Senior Wellness Coordinator will focus on FUH (follow up after hospitalization) and meeting our HEDIS goals by assisting facilities to obtain aftercare appointments for our members who have been psychiatrically hospitalized and provide resources to facilities to assist them with discharge planning.
Schedule: Monday through Friday a 40-hour work week between the hours of 6:00 am to 6:00 pm standard business hours in the time zone related to the work (market)(CST)
Location: Remote Nationwide
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Conduct outreach to inpatient behavioral health facilities and designated facility contacts to obtain complete follow-up appointment information, including appointment date, time, and provider
- Support efforts to ensure members have appropriate follow-up care arranged following behavioral health hospitalization
- Assist facilities with identifying appropriate in-network outpatient providers when follow-up services have not yet been established
- Identify barriers that may affect a member's ability to obtain or keep follow-up appointments and assist with resources related to needs such as transportation and financial considerations
- Provide facilities with information regarding existing treating providers and other resources that may support successful discharge planning
- Follow up with facility discharge contacts when appointment or discharge information is incomplete or has not been reported
- Assist with identifying and addressing health-related social needs and other barriers that may affect successful transition to outpatient care
- Respond to facility requests for assistance with discharge planning, resources, and referrals
- Maintain clear and accurate documentation of outreach activities, appointment information, referrals, resources provided, and outreach outcomes
- Collaborate with internal partners and facility contacts to support continuity of care following behavioral health hospitalization
- Manage assigned cases and outreach activities in accordance with established workflows, documentation requirements, and quality expectations
- Maintain professional, compassionate, and solution-focused communication when interacting with providers, facilities, internal partners, and members
- Perform other duties as assigned
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base 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.)
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:
- High School Diploma/GED
- 2+ years of experience in behavioral health field
- 1+ years of computer proficiency experience
- 1+ years of telephonic customer service experience
- 1+ years of experience handling sensitive issues with members and providers in a confidential manner
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
- Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- Ability to work a 40-hour work week in the time zone related to the work (market) (CST)
Preferred Qualifications:
- Demonstrated managed care experience
- Knowledge of HEDIS
- Experience with provider outreach
- Proven working knowledge of community-based resources and services
- Experience working within a medical/ behavioral setting
- Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Soft Skills:
- Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn
- Solid oral and written communication skills - specifically telephone skills
- Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work
- Experience handling sensitive issues with members and providers in a confidential manner
- Excellent customer service skills
- Solid team player and team building skills
*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 $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #GREEN
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