Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.

　　As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home.

　　We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

　　The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys. The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.

　　Schedule: Monday - Friday position.

　　Why naviHealth?

　　At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company’s technical vision and strategy.

　　Primary Responsibilities:

　　Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays

　　Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families

　　Complete all SNF concurrent reviews, updating authorizations on a timely basis

　　Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc.

　　Assure patients’ progress toward discharge goals and assist in resolving barriers

　　Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director

　　Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services

　　Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed

　　Attend patient/family care conferences

　　Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome

　　When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate

　　Coordinate peer to peer reviews with naviHealth Medical Directors

　　Support new delegated contract start-up to ensure experienced staff work with new contract

　　Manage assigned caseload in an efficiently and effectively utilizing time management skills

　　Enter timely and accurate documentation into the CM Tool application

　　Daily review of census and identification of barriers to managing independent workload and ability to assist others

　　Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement

　　Adhere to organizational and departmental policies and procedures

　　Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws

　　Perform other duties and responsibilities as required, assigned, or requested

　　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:

　　Active, unrestricted registered clinical license - Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist

　　Clinical licensure in TX

　　3+ years of clinical experience

　　Proficient with Outlook, Excel, and Word

　　Preferred Qualifications:

　　2+ years of Case Management experience

　　Experience working with geriatric population

　　Patient education background, rehabilitation, and/or home health nursing experience

　　Proven ability to be detail-oriented

　　Proven ability to be a team player

　　Demonstrated exceptional verbal and written interpersonal and communication skills

　　Proven solid problem solving, conflict resolution, and negotiating skills

　　Proven independent problem identification/resolution and decision-making skills

　　Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously

　　Work Conditions and Physical Requirements:

　　Ability to establish a home office workspace

　　Ability to manipulate laptop computer (or similar hardware) between office and site settings

　　Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time

　　Ability to communicate with clients and team members including use of cellular phone or comparable communication device

　　Ability to remain stationary for extended time periods (1 - 2 hours)

　　Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time

　　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.

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