HSS Coordinator - North Houston, TX - Houston Texas

Company: UnitedHealth Group
Location: Houston, Texas
Posted On: 05/12/2024

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 with the STAR Kids team. The HSS Care Coordinator, 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 in North Houston and Harris County, TX, you will have the flexibility to work remotely* as you take on some tough challenges. Travel is required up to 75% of the time in local areas.
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 Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices

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 LVN/LPN license in the state of Texas
2+ years of experience working within the community health setting or in a health care role
Intermediate level of proficiency in Microsoft Word, Excel, and Outlook including the ability to create, edit, save and send documents, spreadsheets and emails
Reliable transportation and the 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 at residence

Preferred Qualifications:


RUG certification or the ability to obtain within 30 days of employment
2+ years of pediatric care experience
Experience in pediatric case management and/or certification in case management (CCM)
Field-based work experience
Experience with electronic charting
Background in managing populations with behavioral needs
Bilingual skills

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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.


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