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Community & State Lock-In Coordinator - Remote in Missouri

  • Job
    Full-time
    Junior Level
  • Government & Politics
    Healthcare
  • Kansas City, +1
    Remote

AI generated summary

  • You must have a high school diploma, LPN license in MO, clinical experience, computer proficiency, and reside in Missouri. Preferred: bachelor’s degree, care management, and managed care experience.
  • You will review claims data, collaborate with the Medical Director on utilization, educate providers on the Lock-In program, and partner with the care team while learning about community cultures.

Requirements

  • Required Qualifications
  • High School Diploma/GED (or higher)
  • Current & active LPN license in the state of Missouri
  • 1+ years of clinical experience in a hospital direct care setting or case management
  • Intermediate level of proficiency with Computers, typing, and entering and retrieving data in electronic clinical records
  • Reside within the state of Missouri
  • Preferred Qualifications
  • Bachelor’s Degree (or higher) in a health-related field
  • Previous care management experience
  • Experience working in Managed Care
  • Knowledge of Medicaid and/or Medicare population
  • Experience with vulnerable subpopulations including members with homelessness, substance use disorders and other complex chronic conditions
  • Proficiency with Microsoft Excel (ability to create, edit, and sort spreadsheets, basic analytical formulas (VLOOKUP, if) and Microsoft Word (create and edit correspondence)
  • Soft Skills
  • Experience with email, internet research, use of online calendars and other software applications
  • Telecommuting Requirements
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Ability to keep all company sensitive documents secure (if applicable)
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Responsibilities

  • Primary Responsibilities
  • Review member’s claims data
  • Work with Medical Director to discuss member utilization patterns
  • Discuss and educate providers on health plan Lock-In program
  • Partner with care team (community, providers, internal staff)
  • Knowledge and continued learning of community cultures and values

FAQs

What is the job title for this position?

The job title is Community & State Lock-In Coordinator.

Is this position remote?

Yes, this position is remote but candidates must reside in the state of Missouri.

What are the normal business hours for this role?

The normal business hours are Monday to Friday, from 8:00am to 5:00pm.

Will there be any travel required for this job?

Yes, travel is required 0-10% within the state of Missouri.

What qualifications are required for this position?

A high school diploma or GED, a current and active LPN license in the state of Missouri, at least 1 year of clinical experience in a direct care setting or case management, and intermediate proficiency with computers are required.

What preferred qualifications are sought for this role?

Preferred qualifications include a Bachelor's Degree in a health-related field, previous care management experience, experience working in Managed Care, and knowledge of Medicaid and/or Medicare populations.

Are there any specific soft skills required for this position?

Yes, experience with email, internet research, use of online calendars, and other software applications is required.

What types of benefits are offered with this job?

Benefits include paid time off, medical plan options, dental and vision insurance, a 401(k) savings plan, education reimbursement, and an employee assistance program, among others.

Is COVID-19 vaccination status required?

Yes, UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

What is the company's stance on diversity and inclusion?

UnitedHealth Group is committed to creating a diverse and inclusive workplace, where all qualified applicants will receive consideration for employment without regard to various protected characteristics.

What is the drug policy for this position?

UnitedHealth Group is a drug-free workplace, and candidates are required to pass a drug test before beginning employment.

What is the main focus of the Lock-In Coordinator role?

The primary focus of the Lock-In Coordinator role is to work with medically complex members, reviewing claims data and collaborating with care teams to educate providers on health plan Lock-In programs.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

When it comes to your health, everything matters. That’s why UnitedHealthcare is helping people live healthier lives and making the health system work better for everyone. Our health plans are there for you in moments big and small, delivering a simple experience, affordable coverage, and supportive care. Wherever your health takes you, we're there for what matters. At UnitedHealthcare, part of the UnitedHealth Group family of businesses, we are working to create a system that is connected, aligned and more affordable for all involved; one that delivers high quality care, responsive to the needs of each person and the communities in which they live. With connections to more than 1.3 million physicians and care professionals and 6,500 hospitals and care facilities across the globe, we can collaborate in new ways to improve patient care while providing customizable and comprehensive solutions in any marketplace, anywhere.

Culture & Values

  • Integrity

    Honor commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of the people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future. Learn from the past

  • Performance

    Demonstrate excellence in everything we do.

Benefits

  • United Well-being

    United Well-being supports employees in their journey to better health. Resources include: Exercise and mindfulness apps. Tips and recipes for healthy cooking. Wellness coaching and financial tools. A private employee community group.

  • Health and Insurance

    Our medical plans for employees deliver better value and better outcomes. We offer: Copay plans and HSA-eligible plans. Vision and dental plans. Flexible spending accounts. Life insurance, and more.

  • Savings and Retirement

    In addition to competitive pay, we provide financial benefits to help employees manage their money. Benefits include: 401(k) Savings Plan. Employee Stock Purchase Plan. UnitedHealth Group credit union, and more.

  • Paid Time Off (PTO)

  • Paid Company Holidays

  • Parental Leave

  • Employee Assistance Program