UnitedHealth Group Looking for Field Based Senior Living Care Navigator – Warwick, RI at Warwick, Rhode Island Full Time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work. SM

There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an email with information regarding next steps including any pre – employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to:

The Senior Living – Care Navigator is a trained healthcare resource that partners with and supports Optum Advanced Practice Clinicians (APCs). The Senior Living- Care Navigator assists in care coordination activities, administrative tasks and support for members residing in Assisted Living Centers, Senior housing, or independent homes both virtually and in person. This role includes use of strong technical skills, communication, and collaboration with the clinical team, community, members and their families.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work our 8-hour shift schedules during our normal business hours of 8:00 am to 5:30 pm. It may be necessary, given the business need, to work occasional overtime. This position requires traveling to work sites within the local geographic area for which this posting indicates.

Primary Responsibilities:

The Senior Living – Care Navigator will be responsible for:

• Supporting APC(s) with overall coordination of member care, at the direction of the APC
• Functioning as part of a collaborative team
• Data entry and member chart management for:
  • New members
  • Post hospital visits
  • Pre-visit updates
  • Health maintenance updates
  • Stars
  • Lab results
  • Medication entry
• Obtaining medical records following hospitalizations and physician appointments
• Obtaining consult notes, hospital discharge summaries, lab results
• Obtaining updates on members receiving Part A & B therapy
• Uploading lab results, medication changes, new member information into the EMR
• Assisting with scheduling of member appointments and transportation
• Arranging facility and member education
• Building facility relationships
• Supporting virtual family communication and/or virtual clinical visits for APC by holding and operating an iPad during the visits
• Prior experience as CNA, CMA or LPN beneficial
• Assisting members to utilize benefits
• Transitions to SNF (calling for SNF Bed, gathering medical records & sending to SNF, sending orders, arranging transportation)
• Coordinating Home Health and DME
• Other tasks within scope, as assigned by the APC

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:

• High School Diploma / GED (or higher)
• 2+ years of Clinical or Medical Record experience including knowledge of medical terminology and working within E.H.R. platforms with experience working in cross functional, inter and multi-disciplinary teams
• Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
• Ability to travel up to 25% of the time between assisted living communities.
• Experience in Microsoft Word (edit, create & save documents), Microsoft Excel (adding, sorting & filtering data) and Microsoft Office (email, folders, attachments and calendaring)
• Experience and proficiency with EMRs
• Understanding or experience with medical team collaboration
• Ability to travel up to 25% of the time
• Ability to work Monday-Friday – Flexible Day/Early Evening Hours
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Preferred Qualifications:

• Experience with CMS compliance
• Certified Nursing Assistant certification or Certified Medical Assistant certification, or LPN credentials while not required are beneficial

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies required all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

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.