LTSS Case Manager - Alamosa, Rio Grande, Costilla, Conejos and Saguache Counties

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together Position in this function supports corporate objectives by utilizing the demonstrated competency of Long Term Services and Supports to provide Case Management services. Will participate in case conferences with the Supervisor. If you are located in Colorado and locally to Alamosa, Rio Grande, Costilla, Conejos or Saguache County , CO, you will have the flexibility to work remotely* as you take on some tough challenges.

Intake/screening/referral, assessment/reassessment, development of support plans, on-going case management, monitoring of the Member's health and welfare, documentation of contacts and case management activities in the Department-prescribed system, resource development, and case closure Respect confidentiality and maintain confidence as described in the UHG Employee Handbook and acknowledged through signature by all employees. Maintain confidentiality of patient information. The ability to maintain confidentiality is a critical and essential component of this position Conduct monitoring contacts as prescribed by the Department. Contact the Member at least once within each quarterly period or more frequently as warranted by the Member's condition /or as determined by the rules of the LTSS Program in which the Member is enrolled Conduct face-to-face contact with the Member's at least every six months or more frequently if warranted by the Member's condition or the rules of the LTSS Program in which the Member is enrolled. Update the current approved assessment tool and care or support plan in the appropriate documentation system(s) to reflect any changes in condition or services Complete a new assessment during a face-to-face reassessment annually or more frequently if warranted by the Member's condition or if required by the rules of the LTSS Program in which the Member is enrolled. Complete additional assessments as needed/required Monitor the delivery of services and supports identified within the Support Plan and the Prior Authorization Request (PAR) Attend Department provided training for CMA agencies as well as agency provided in-service and staff development training Responsible to conduct Work that is in accordance with the CMA Contract Agreement's requirements. This includes but is not limited to, providing Work that is accurate, timely, and complete In the event, at any time throughout the case management process, the case manager suspects an individual to be a victim of mistreatment, abuse, neglect, exploitation or a harmful act, the case manager shall immediately refer the individual to the protective services section of the county department of social services of the individual's county of residence and/or the local law enforcement agency May take on special assignments and projects on an as needed basis. Assist with system assessment and development as needed This position requires travel. Requires independent, reliable, flexible, and on-demand, transportation at the incumbent's expense for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage This function is for UHC C&S Only (with the exception of the Community Health Worker role). Positions in this function address efforts focused on medical, behavioral, and social determinants of health factors that improve the well-being of individuals, families, and communities You'll be rewarded and recognized for your