Opportunities with Advantage Plus Network - Connecticut, part of the Optum family of businesses. When you work at Advantage Plus Network - Connecticut, your contributions directly sustain the health and well-being of our community. Discover high levels of teamwork, robust medical resources and a deep commitment to exceptional care and service. Join a leading community-based medical group and discover the meaning behind Caring. Connecting. Growing together.

Position Details:

• Location: Telecommuter position, but must be Connecticut based to attend as-needed meetings in Farmington, CT

• Schedule : Full time, 40 hours/weekly, Monday through Friday, 8:00AM - 4:30PM

If you are located in CT, possess a CT licensure and have the ability to attend as-needed meetings, you will have the flexibility to work remotely* as you take on some tough challenges.

Position Overview:

The role of the Case Management Care Coordinator is to assist the Medical Management Team and physicians in the on-going monitoring of complex patients that includes but is not limited to:

• Identify psychosocial needs and interventions for patient’s condition

• Proactively help prevent patient ER and acute admissions, when possible, by emphasizing prevention of exacerbations and complications utilizing cost-effective evidence-based practice guidelines and social service interventions including patient self-management

• Facilitate the improvement of patient compliance via telephonic follow-up and other alternative or non-traditional methods

• Help to improve patient satisfaction which includes supporting the physician/patient relationship and plan of care

• Assist in maximizing patient access to quality health care via coordination with PCPs, Specialists, social services, home health, health education, and laboratory services

Primary Responsibilities:

• Assist with development and maintain social service program, drafting supporting policies, procedures, and guidelines for the program

• Telephonically assess patient psychosocial status

• Communicates with physicians to report patient progress, needs, concerns, and potential and actual problems

• Works closely with all members of the healthcare team in development of the plan of treatment based on psychosocial assessment and accepted social work interventions

• Provide social work services including, short-term counseling, community resource planning, and crisis intervention

• Acts as a resource person for other members of the healthcare team

• Develops and maintains through knowledge of referral resources throughout the service area

• Report to APNCT Case Management Nurse variances in patient’s condition, medications, or treatment

• Telephonically monitor patient on a regular basis regarding psychosocial needs, education, and compliance with treatment plan

• Maintains up to date knowledge of Medicare, Medicaid, and other third-party reimbursement sources

• Provides positive customer relations in dealing with patients, families, physicians, team members, hospital departments, referral resources, service agencies and others

• Refer to health education and other service departments as necessary

• Complete all required documentation in a timely manner according to department policy

• Refer patient to outside community resources, classes, education, etc. as appropriate

• Case closure as appropriate

• Collect data necessary for APNCT Case Management reports/studies

• Attend APNCT Case Management meetings and trainings as appropriate

• Other duties as needed

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:

• Graduate of an accredited Master’s degree social work program

• Unrestricted current Social Worker license in state of Connecticut

• Licensed Clinical Social Worker (LCSW)

• 3+ years of solid clinical background with broad range of experience in health care delivery setting (hospital, clinic, physician’s office)

• 2+ years of experience with health plan care coordination in a remote work setting

• Experience with Electronic Health Records (Allscripts, Epic)

• Proficient in Microsoft Office Suite, Adobe Products

• Proven ability to work with a multi-disciplinary team

• Proven excellent interpersonal and communication skills (both written and oral)

• Willing or ability to independently travel up to Farmington CT for training and meetings as needed. Possible travel to other locations at times

Preferred Qualification:

• Background in behavioral health

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Connecticut Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.