UnitedHealth Group Skilled Inpatient Care Coordinator - Michigan in Detroit, Michigan
naviHealth, part of Optum and the UnitedHealth Group family of businesses, combines the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. With millions of lives touched, we are innovating the way health care is delivered from hospital to home so seniors can lead more fulfilling lives. A career with us means making an impact in the lives of those we serve, including vulnerable populations who benefit from care that is more efficient, more effective and more human. Our environment empowers our team members to elevate our interactions with each other and the experiences we deliver to our patients, giving them more days at home. Join our team, it’s your chance to improve the lives of millions while doing your life’s best work.(sm)
The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys. The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.
Hours for this position are Friday-Tuesday, 8am-4:30pm ET.
Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays
Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families
Complete all SNF concurrent reviews, updating authorizations on a timely basis
Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc.
Assure patients’ progress toward discharge goals and assist in resolving barriers
Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director
Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services
Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed
Attend patient/family care conferences
Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome
When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate
Coordinate peer to peer reviews with naviHealth Medical Directors
Support new delegated contract start-up to ensure experienced staff work with new contract
Manage assigned caseload in an efficiently and effectively utilizing time management skills
Enter timely and accurate documentation into the CM Tool application
Daily review of census and identification of barriers to managing independent workload and ability to assist others
Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement
Adhere to organizational and departmental policies and procedures
Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws
Perform other duties and responsibilities as required, assigned, or requested
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.
Active, unrestricted registered clinical license - Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist
3+ years of clinical experience
Proficient with Microsoft Office applications including Word, Excel and PowerPoint
Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance
2+ years of Case Management experience
Patient education background, rehabilitation, and/or home health nursing experience
Experience working with geriatric population
Exceptional verbal and written interpersonal and communication skills
Proven problem solving, conflict resolution, and negotiating skills
Independent problem identification/resolution and decision-making skills
Able to prioritize, plan, and handle multiple tasks/demands simultaneously
Work Conditions and Physical Requirements:
Ability to establish a home office workspace
Ability to manipulate laptop computer (or similar hardware) between office and site settings
Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time
Ability to communicate with clients and team members including use of cellular phone or comparable communication device
Ability to remain stationary for extended time periods (1 - 2 hours)
Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
Colorado, Connecticut or Nevada Residents Only: The hourly range for Colorado residents is $31.15 to $55.77. The hourly range for Connecticut / Nevada residents is $34.33 to $61.25. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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.
Job Keywords: Skilled Inpatient Care Coordinator, SICC, Clinical, Inpatient Care, Coordination, NaviHealth, MI, Michigan