Home
/
Comprehensive
/
Skilled Inpatient Facility Care Coordinator - RN PT OT or SLP - Northwest Suburbs of Chicago
Skilled Inpatient Facility Care Coordinator - RN PT OT or SLP - Northwest Suburbs of Chicago-November 2024
Lake Zurich
Nov 25, 2024
ABOUT UNITEDHEALTH GROUP
With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.
10,000+ employees
Healthcare
VIEW COMPANY PROFILE >>
About Skilled Inpatient Facility Care Coordinator - RN PT OT or SLP - Northwest Suburbs of Chicago

  Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.

  As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home.

  We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

  Why naviHealth?

  At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company’s technical vision and strategy.

  The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys. The SICC travels to the skilled nursing facility to complete weekly functional assessments and engages the post-acute care (PAC) inter-disciplinary care team to coordinate discharge planning to support the members PAC journey. 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.

  This role will be based out of the employee's home but will be required to travel to facilities in Elgin, Barrington, and Libertyville.

  Primary Responsibilities:

  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

  Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing 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 CMS criteria

  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 contracts

  Manage assigned caseload in an efficiently and effectively utilizing time management skills

  Enter timely and accurate documentation into nH coordinate

  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

  Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business

  Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits)

  Adhere to all local, state, and federal regulatory policies and procedures

  Promote a positive attitude and work environment

  Attend naviHealth meetings as requested

  Hold patients’ protected health information confidential as required by applicable laws, regulations, or agency/institution procedures

  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.

  Required Qualifications:

  Active, unrestricted registered clinical license - Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist

  3+ years of clinical experience as a Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist

  Proficient with Outlook, Excel and Word

  Access to reliable transportation to travel to facilities throughout Elgin, Barrington and Libertyville

  Availability to travel to the facilities up to 70% of the time

  Dedicated, distraction-free space in home for home office

  Access to high-speed internet from home (Broadband Cable, DSL, Fiber)

  Preferred Qualifications:

  Understanding/knowledge of CMS, Medicare, and Medicaid guidelines/regulations

  Case Management experience

  Experience working with geriatric population

  Patient education background, rehabilitation, and/or home health nursing experience

  Proven ability to be detail-oriented

  Proven ability to be a team player

  Demonstrated exceptional verbal and written interpersonal and communication skills

  Proven solid problem solving, conflict resolution, and negotiating skills

  Proven independent problem identification/resolution and decision-making skills

  Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously

  *All employees working remotely 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.

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Advanced Practice Provider Ft. Lupton
Job Description: (Family Medicine) You.You bring your mind, body, heart, and spirit to your work as an AdvancedPractice Providerin Family Medicine in Ft. Lupton, CO.You put your patients first, and a
Principal Software Engineer
In Microsoft’s Applied Sciences Group, we build the earliest prototypes of new devices and software, evaluate and refine those experiences, and then scale them into shipping projects. This opening is
Mechanical Engineer 7 - Geothermal
36664BR Requisition ID: 36664BR Business Unit: TSU Job Description: CDM Smith is an engineering and construction firm delivering legendary service, smart solutions for the environment and infrastruct
Medical Support Assistant (Adv
Summary The Advanced MSA will work collaboratively in an interdisciplinary coordinated care delivery model. They work with the patient care team to review the clinic utilization by using various repo
Teacher, Amazing Afternoons Afterschool Program
WJCS is hiring! If working alongside a team of caring professionals interests you, apply now! Details about this exciting opportunity: Part-Time Teacher for our Amazing Afternoons, Afterschool Progra
Engineer I
Job Number 24010405 Job Category Engineering & Facilities Location The Westin Reserva Conchal an AI Golf Resort and Spa, Playa Conchal, Guanacaste, Guanacaste, Costa Rica Schedule Full-Time Locat
RN/LVN Pediatric Home Health Nurse
THIS JOB REQUIRES AN RN/LVN LICENSE, NON-LICENSED INDIVIDUALS WILL BE REJECTED Sign-on Bonus up to $1500* *Sign-on bonus is case specific and offered based on hours worked, speak to your recruiter fo
Bachelors/Masters - Transportation Engineering Intern (Summer 2024!)
36676BR Requisition ID: 36676BR Business Unit: TSU Job Description: CDM Smith’s Harrisburg, Philadelphia, or Wayne office is looking for a Civil or Transportation Engineering Intern to join the team!
Licensed Practical Nurse - LPN (Home Health)
LICENSED PRACTICAL NURSE (LPN), full time home health. Great pay, mileage and cell reimbursement, $6000 Sign On Bonus, and more! Home health experience is not required. HOME HEALTH SERVICES Join the
Trimmer Trainee | Youngstown, Ohio
Additional Locations:NAPrimary Locations:OH, Youngstown, 1221 North Meridian, 44509Requisition ID:192613Position OverviewTrimand removetrees, remove unwanted,diseased or dying limbs on trees, or to a
Copyright 2023-2024 - www.zdrecruit.com All Rights Reserved