Clinical Care Advocate
Location: Honolulu, Hawaii
Description: UnitedHealth Group is currently seeking to employ Clinical Care Advocate right now, this career will be situated in Hawaii. More complete informations about this career opportunity kindly see the descriptions. For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and! help people live healthier lives while doing your life's best work.(sm)
The Clinical Care Advocate supports assigned practices with on site care coordination to facilitate appropriate primary care visit planning, follow up and coordination to reduce adverse events for high risk/Health Home cohort patients. The Clinical Care Advocate coordinates with practice clinical teams and United teams/resources to ensure high risk patients receive optimal care at each visit.
Responsibilities:
Work on site with assigned Medical Home practice clinical team supporting the clinicalteam in managing cohorts of high risk/home health members to ensure they are seen by their PCP as needed and meet goals.
Work with the PCP to ensure that all aspects of the patient plan of care is followed.
Plan for each PCP visit, prep the PCP, meet the cohort patients before scheduled practice visits and complete medication reconciliation. Prep PCP by providing li! sts of current care opportunities, information on medication c! ompliance, updates on referral results and other priority issues.
Follow up with specialists to ensure referrals to specialist appointments are completed and specialist visit documentation is provided to PCP on time, and the patient returns for a primary care follow up visit.
Review Medical Home Registry updates daily to identify any unplanned ER visits or Admissions for High Risk Cohort patients and coordinate to return patient to primary care within 7 days.
Coordinate support for patients using available United care management ICCT resources and local Promotoras for education and outreach.
Collaborate with the practice Medical Home clinical team to identify and address barriers to closing current care opportunities.
Collaborate with local hospital UM nurse and transition nurse for transitional needs of high risk patients in medical home practices.
Use the Medical Home Population Registry for High Risk patients to plan ! visits, track follow up and ensure open care opportunities are addressed.
Report daily, weekly and monthly measurable progress on high risk patients to clinical teams and at JOC.
Keywords: RN, Registered Nurse, Quest, Medicaid, Medicare, Care Advocate, clinic, practice, Pediatrics
Requirements
REQUIREMENTS:
Registered Nurse (RN) with active and unrestricted license in the state of Hawaii
A minimum of 2 years of RN experience working within a clinic or practice setting, including case coordination
Reliable transportation to travel to Provider offices, facilities and other locations
Demonstrated ability to use a PC in a Windows environment
Additional Assets:
Previous experience working in Pediatrics
Strong understanding of the Medicaid system in Hawaii
Guided Care Nurse Certification
Experience caring for patients with chronic conditions
Uni! tedHealthcare Community & State is part of the family of companies that! make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State .
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the ! way health care services are delivered.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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If you were eligible to this career, please give us your resume, with salary requirements and a resume to UnitedHealth Group.
Interested on this career, just click on the Apply button, you will be redirected to the official website
This career starts available on: Thu, 02 May 2013 21:31:47 GMT
Apply Clinical Care Advocate Here