HSS Clinical Coordinator RN - Telecommute in Texas

At UnitedHealthcare, we are 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 will be a work at home position working Monday - Friday (days) with some flexibility in hours.

If you reside in Texas, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Review and coordination of Minor Home Modification (MHM) and Vehicle Modifications for the HCBS Waiver Service Coordinators
• Review requests for benefit, including health and safety concerns
• Coordinate and conduct interdisciplinary meetings with service coordination, management and medical directors as needed for review
• Work collaboratively with vendors to coordinate initiation of MHM, progress and completion
• Work collaboratively with SC to facilitate review and completion of MHM/Vehicle Mod
• Identifies and resolves technical, operational and organizational problems within and outside own team
• Develops, translates and executes strategies or functional/operational objectives for UnitedHealthcare including medical management, financial accountability, customer and provider satisfaction, and quality improvement in accordance with state guidelines
• Works autonomously to identify issues, craft action plans and implement changes to positively impact business function
• Tracks and trends data, identifying opportunities for improvement and communicating effectiveness
• Identifies training opportunities and deficiencies and works closely with training team
• Identifies operational efficiencies to enhance operations and standardize best practices across the organization
• Confirms team compliance with all regulatory requirements
• Provides oversight and direction of MHM clinical admin staff
• Facilitates and strengthens relationships with providers within UHC network and identifies new providers to include in network

You will 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:

• Current unrestricted Texas RN license
• 2+ years' experience working in Medicaid and the HCBS Star Plus Waiver program
• 2+ years' experience with understanding of the Minor Home Modification and ISP development process
• Advanced level of proficiency with the Star Plus Wavier Benefit structure
• Advanced level of proficiency with computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
• High-speed internet at residence

Preferred Qualifications:

• Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
• Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

*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 salary for this role will range from $60,200 to $107,400 annually 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.

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