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in Honolulu, HI
Healthcare Services Coordinator - Honolulu or Oahu, HI - Full-time / Part-time
Hours | Full-time, Part-time |
---|---|
Location | Honolulu, HI Honolulu, Hawaii |
About this job
Position Description:
UnitedHealthcare Community & State is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
Primary Responsibilities:
- Engage members face to face to educate about their health
- Review available member service records and relevant documentation
(e.g., utilization history, functional level, stratification information,
current plan of care) - Conduct comprehensive non-clinical member assessment that includes
bio-psychosocial, functional, and behavioral health needs - Utilize interviewing techniques and active listening to collect and
retain member information and incorporating responses as they are presented to
complete assessment - Identify when supplemental assessments are needed and conduct
supplemental assessments - Identify member service needs related to health concerns
- Identify urgent member situations and escalate to next level when
necessary - Engage member to participate in the assessment process and
collaboratively develop plan of care based on their individual needs,
preferences, and objectives with nursing oversight - Work with members to develop healthcare goals and identify potential
barriers to achieving healthcare goals - Identify member support systems available and incorporate into plan of
care - Review plan benefits and identify appropriate programs and services
based on heath needs and benefits - Integrate health care and service needs into a plan or recommendation
for member care and service - Work collaboratively with the interdisciplinary care team to ensure an
integrated team approach - Collaborate with member to create solutions to overcome barriers to
achieving healthcare goals-Identify relevant community resources available
based on member needs - Refer members to appropriate programs and services
- Facilitate member choice of preferred provider
- Provide informal counseling and social support resources
- Advocate for individuals and communities within the health and social
service systems; - Role assists in
coordinating health services and does not write care plans - Help members connect with
transportation resources and give appointment reminders in special
circumstances. Transporting members is strictly prohibited - Follow-up with members via phone
calls, home visits and visits to other settings where members can be found
Requirements
Required Qualifications:
- High
School Diploma or GED - 1+ year knowledge of medical terminology
- Ability
to create, copy, edit, send & save utilizing Word, Excel & Outlook - 1+ year Medicaid experience
- 1+ year experience working in the community / community programs or working as a case manager
- Must
have reliable transportation, valid state drives license and required insurance
- HI
Medicaid experience - rules and regulations strongly desired - College
Degree is preferred - Medicare experience is preferred
- Previous
employment in a medical office, hospital or clinical or other provider
environment
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.