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Community & State Lock-In Coordinator - Remote in Missouri

  • Job
    Full-time
    Junior Level
  • People, HR & Administration
    Healthcare

AI generated summary

  • You must have a high school diploma, active LPN license in Missouri, 1+ years clinical experience, and computer proficiency. Preferred are a bachelor’s degree and managed care experience.
  • You will analyze member claims, collaborate with the Medical Director on utilization, educate providers on Lock-In, and engage with community partners while learning about local 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
  • UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
  • All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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 role of the Community & State Lock-In Coordinator?

The Lock-In Coordinator reviews claims data of medically complex members and works with medical professionals to discuss utilization patterns and educate providers on the health plan Lock-In program.

Is this position fully remote?

Yes, this position allows for telecommuting from anywhere within the U.S., with occasional travel required within the state of Missouri.

What are the primary responsibilities of this position?

Primary responsibilities include reviewing member claims data, working with the Medical Director on utilization patterns, educating providers on the Lock-In program, and partnering with care teams.

What are the required qualifications for this job?

Required qualifications include a High School Diploma or GED, an active LPN license in Missouri, at least 1 year of clinical experience, and proficiency with computers.

Are there any preferred qualifications?

Yes, preferred qualifications include a Bachelor’s Degree in a health-related field, care management experience, knowledge of Medicaid/Medicare populations, and experience with vulnerable subpopulations.

What is the work schedule for this position?

The position is full-time, requiring 40 hours of work from Monday to Friday, with potential overtime or weekend work as needed.

What benefits does UnitedHealth Group offer?

Benefits include paid time off, medical, dental, and vision insurance, a 401(k) plan, education reimbursement, employee assistance programs, and more.

Is healthcare experience necessary for this role?

Yes, at least one year of clinical experience in a hospital direct care setting or in case management is required.

How does UnitedHealth Group approach diversity in the workplace?

UnitedHealth Group is committed to equal employment opportunities and diversity, ensuring that all qualified applicants receive consideration without discrimination based on various protected characteristics.

What are the telecommuting requirements for this role?

Employees must have a dedicated work area for privacy, secure sensitive documents, and have access to a high-speed internet connection.

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