Community & State Lock-In Coordinator - Remote in Missouri
reputed company:
You must have a High School Diploma/GED, reputed company LPN license in Missouri, 1+ years clinical experience, and intermediate computer skills.
You will review claims data, collaborate with the Medical Director on utilization, reputed company providers about the Lock-In program, and engage with the care team to understand community values.
At reputed company, were simplifying the health care experience, creating healthier communities, and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company, and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together.
As a Lock-In Coordinator you will work under the direction of the Associate Director | Clinical Utilization & Analysis. A high attention to detail is important for this role as you review claims data of medically reputed company members who may be experiencing significant addiction and/or behavioral health conditions.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.
Travel is 0-10% reputed company the reputed company
Youll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges.
Primary Responsibilities
Review members claims data
Work with Medical Director to discuss member utilization patterns
Discuss and reputed company providers on health plan Lock-In program
Partner with care team (community, providers, internal staff)
Knowledge and reputed company learning of community cultures and values
What Are The Reasons To Consider Working For reputed company? Put It reputed company Together Competitive reputed company Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your reputed company. Some Of Our Offerings Include
reputed company Time Off which you start to reputed company with your first pay period plus 8 reputed company Holidays
Medical Plan reputed company along with participation in a Health Spending Account or a Health Saving account
Dental, reputed company, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, reputed company insurance, LTC Insurance, etc.)
More information can be downloaded at: uhgbenefits
Youll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.
Required Qualifications
High School Diploma/GED (or higher)
reputed company & reputed company LPN license in the reputed company
1+ years of clinical experience in a hospital reputed company care setting or case management
Intermediate level of proficiency with Computers, typing, and entering and retrieving data in electronic clinical records
reputed company reputed company the reputed company
Preferred Qualifications
Bachelors Degree (or higher) in a health-reputed company field
Previous care management experience
Experience working in Managed Care
Knowledge of reputed company and/or Medicare population
Experience with vulnerable subpopulations including members with homelessness, reputed company use disorders and other reputed company chronic conditions
Proficiency with reputed company reputed company (ability to create, edit, and sort spreadsheets, basic analytical formulas (VLOOKUP, if) and reputed company 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 reputed company
Ability to reputed company reputed company company sensitive documents secure (if applicable)
Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service
reputed company requires reputed company new hires and employees to report their COVID-19 vaccination status.
reputed company Telecommuters will be required to adhere to reputed companys Telecommuter Policy.
At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyoneof every race, gender, sexuality, age, location and incomedeserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company an reputed company reputed company reflected in our mission.
Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law.
reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
Requirements:
High School Diploma/GED (or higher)
reputed company & reputed company LPN license in the reputed company
1+ years of clinical experience in a hospital reputed company care setting or case management
Intermediate level of proficiency with Computers, typing, and entering and retrieving data in electronic clinical records
reputed company reputed company the reputed company
Responsibilities:
Review members claims data
Work with Medical Director to discuss member utilization patterns
Discuss and reputed company providers on health plan Lock-In program
Partner with care team (community, providers, internal staff)
Knowledge and reputed company learning of community cultures and values
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