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Case Care Coordinator (LHI) - La Crosse, WI

01/11/2019Call Center
Job Location:
La Crosse, WI
Metro Area:
WI - La Crosse - Eau Claire
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
At Optum, the mission is clear:  Help people live heathier lives and help make the health system work better for everyone LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well - being of Americans.By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system.  LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on - location services, patient - specific in - clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.  There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work.The Case Care Coordinator is the primary point of contact for each individual member. They will work directly with the member to take on a holistic, proactive approach as it relates to the members healthcare. The Case Care Coordinator will be very hands on as they work through items such as intake, care plan, treatment needs, as well as coordinating efforts with member’s primary care provider as well as other treatment facilities. The Case Care Coordinator with communicate with a diverse group of people across multi - disciplines while serving as point of contact for internal and external entities. Primary Responsibilities:Summarize and prepare inquiries to submit to the Medical Director under the supervision of the RN Case ManagerComplete intake calls to welcome members to the programInitiate care plans and enter in all relative information from the issues at hand to interventionsPromote adherence to care plan, developed in coordination with the member, primary care provider as well as other treating providersAssess members unmet needs, coordinate services and treatment needsIdentify early risk factors and conduct ongoing assessments and document appropriatelyFunction as an advocate and decrease unnecessaryBuild and maintain relationships with members and other authorized member representativesEducate members on program benefits and preventative careMaintain contract expertise through internal as well as external training and education programsIncrease continuity of care by managing relationships with providers involvedAssist in gaining availability for future appointmentsComplete initial assessment interviewsAssist in provider selection for annual screening exams, diagnostic evaluations as well as treatment appointmentsAcknowledge member’s rights on confidentiality issues, maintain patient confidentiality at all times, and follows HIPAA guidelines and regulations 


Required Qualifications:Associate’s Degree (or higher) in clinical or medical health administration (ie: LPN, social work, psychology, or related field)Experience with medical terminology or completion of medical terminology courseProficient with Microsoft Outlook (calendar and email), Microsoft Excel (general spreadsheet navigation, data entry), and Microsoft Word (creating and editing documents)Ability to travel up to 25% of the timeAbility to work 9:00 am - 6:00 pm CST Monday through FridayPreferred Qualifications:Previous applicable healthcare experienceKnowledge and understanding of CPT and ICD codingCall Center experienceSoft Skills:Must have strong organizational, multi - tasking and time management skillsExcellent written and verbal communication, telephone etiquette and interpersonal skillsMust be able to implement problem solving skills to facilitate timely completion of required responsibilities for a wide range of cases Careers with LHI. Our focus is simple. We’re innovators in cost - effective health care management. And when you join our team, you’ll be a partner in impacting the lives of our customers, and employees. We’ve joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We’re located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We’re supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission - driven focus. For you, that means one incredible team and a singular opportunity to do your life’s best work. 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.Keywords: LHI, La Crosse, WI, Case Care Coordinator, triage, clinical, medical health administration, Associate’s Degree, medical terminology
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