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The Case Manager LPN for the STAR Kids program will manage the care of members in their homes or other community settings by completing in-person health assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent. The Service Coordinator will provide clinical and medical management services, including case management, health assessments, interventions, and discharge planning. This candidate may identify, coordinate or provide appropriate levels of care under the direct supervision of an RN or MD. Work is generally self-directed and not prescribed; this person will work from home when not completing face-to-face patient assessments in the field, so it will be important to function in a less structured work environment. Primary Responsibilities:
Engaging members / families in person (in their homes or in a facility) to coordinate services, community resources, and treatment needs
Travel in assigned territory as needed to complete member assessments; the rest of the time will be spent working in a home-based office
Delivering a holistic approach to coordinated care based on the members needs using a person centered philosophy
Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file
Creating, reviewing and revising care plans and focusing on a holistic approach
Functioning as an advocate for member
Collaborating with the member's PCP to deliver and coordinate necessary services
Building relationships with members and their families; assisting them with coordination of health choices
Ensuring cases are documented in a timely manner
Coordination with other state agencies, community resources and providers
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.