Remote LVN Care Coordinator – STAR or CHIP – Rio Grande, TX Market

Requisition Number: 2187223
Job Category: Medical & Clinical Operations
Primary Location: Rio Grande City, TX
(Remote considered)

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.

This position is working with STAR / CHIP members with Special Healthcare Needs. In this Health and Social Services Coordinator role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.

If you are located within a commutable distance of the Rio Grande, TX Market, you will have the flexibility to work remotely* as you take on some tough challenges. Must be in state of Texas and be able to travel to local office /community about 10% of the time based on business needs.

Primary Responsibilities:

• Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
• Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
• Manage the care plan throughout the continuum of care as a single point of contact
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team

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:

• Current, unrestricted LPN/LVN license in the state of Texas
• 3+ years of clinical experience in a health care role
• Intermediate Microsoft Office experience working with Microsoft Word, Excel, and Outlook (ability to create, edit, save and send documents, spreadsheets and emails)
• Willing or ability to travel in 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 in your residence

Preferred Qualifications:

• Certified Case Manager (CCM)
• Experience with Texas STAR and CHIP
• Experience working with persons with a serious mental illness (SMI) and/or experience of mental illness
• Experience in managed care
• Case management experience
• Bilingual English / Spanish / Chinese/ Mandarin

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy