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Job description
Care Management Specialist
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Primary Responsibilities:
Utilize vetted and approved resources to establish a safe, effective care management plan
Complete a comprehensive psychosocial assessment for each member and develop a member-specific action plan
Collaborate with members, families, and healthcare providers
Identify and initiate referrals to financial, psychosocial, community, and state supportive services
Advocate for members and assist them in navigating the healthcare system
Address age-specific communication needs and engage effectively with members and families from diverse backgrounds
Identify and intervene with high-risk members requiring social services
Maintain records of social care treatment plans, interventions, and outcomes
Participate in interdisciplinary team meetings
Act as a resource to department teammates, organization teammates, and providers for complex members
Understands insurance products, benefits, coverage limitations, insurance, and governing regulations as it applies to the health plan
Use, protect, and disclose members' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Portray a positive attitude and professionalism when interacting with others
Trained to assess and respond to danger to self or others in alignment with state licensure standards
Perform additional duties as assigned
In Person at 3-4 skilled nursing facilities in the metro LA, Montebello, downtown area a week
Four 10hr shifts, 8-6:30 or five 8hr shifts M-F
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:
Undergraduate degree or equivalent experience
BSW - 1+ years of clinical experience in a healthcare setting, or successful completion of a relevant internship
Driver's License and access to reliable transportation
Preferred Qualification:
Bachelor's degree from a CSWE-accredited School of Social Work or a bachelor's degree in a Behavioral Science-related field
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). The hourly pay for this role will range from $24.00 to $43.00 per hour 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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Worksite address
montebello, CA, 90640, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.