LTSS Case Manager - Field Based in Moffat and Rio Blanco Counties, Colorado in Craig

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Position in this function supports corporate objectives by utilizing a demonstrated competency of Long Term Services and Supports to provide Case Management. Participates in case conferences with the Supervisor. Expect to spend about 50% of your time in assigned territory visiting our members in their homes or in long-term care facilities. You’ll need to be flexible, adaptable and, above all, patient in all types of situations. If you are located locally to Moffat and Rio Blanco Counties, CO, you will have the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities

• Intake/screening/referral, assessment/reassessment, development of support plans, ongoing case management, monitoring of the Member's health and welfare, documentation of contacts and case management activities in the Department-prescribed system, resource development, and case closure.
• Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees.
• Conduct monitoring contacts as prescribed by the Department.
• Contact the Member at least once within each quarterly period or more frequently as warranted by the Member's condition or as determined by the rules of the LTSS Program in which the Member is enrolled.
• Conduct face-to-face contact with the Member at least every six months or more frequently if warranted by the Member's condition or the rules of the LTSS Program in which the Member is enrolled.
• Update the current approved assessment tool and care or support plan in the appropriate documentation system(s) to reflect any changes in condition or services.
• Complete a new assessment during a face-to-face reassessment annually or more frequently if warranted by the Member's condition or if required by the rules of the LTSS Program in which the Member is enrolled.
• Monitor the delivery of services and supports identified within the Support Plan and the Prior Authorization Request (PAR).
• Attend Department provided training for CMA agencies as well as agency provided in-service and staff development training.
• Responsible to conduct Work that is in accordance with the CMA Contract Agreement's requirements.
• In the event, at any time throughout the case management process, the case manager suspects an individual to be a victim of mistreatment, abuse, neglect, exploitation or a harmful act, the case manager shall immediately refer the individual to the protective services section of the county department of social services of the individual's county of residence and/or the local law enforcement agency.
• May take on special assignments and projects on an as needed basis.
• Assist with system assessment and development as needed.
• This position requires travel.
• Requires independent, reliable, flexible, and on-demand transportation at the incumbent's expense for travel between various locations and timely arrival and departure from various locations.

Required Qualifications

• Must meet one of the following:
• Bachelor's degree in one of the human behavioral science fields such as human services, social work, psychology, or public health.
• 5+ years of relevant experience in the field of LTSS.
• Combination of education and experience.
• 1+ years of experience with MS Office, including Word, Excel, and Outlook.
• Access to reliable transportation and the ability to travel up to 50% within assigned territory to meet with members and providers.
• Reside locally to Moffat and Rio Blanco Counties, CO.

Preferred Qualification

• Experience as a caseworker or case manager with LTSS population, in a private or public social services agency may substitute for the required education on a year for year basis.

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay and Benefits

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 $23.89 to $42.69 per hour based on full-time employment.

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Commitment to Diversity and Inclusion

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.

Equal Employment Opportunity

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.

Workplace Safety

UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.