Diagnosis Related Group (DRG) Coordinator jobs in Vincennes, IN

At UnitedHealthcare,we’resimplifying the health care experience, creating healthiercommunitiesand removing barriers to quality care.

The work you do hereimpactsthe lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive,affordableandequitable.

Ready to make a difference? Join us to start Caring. Connecting. Growing together.

As part of a care management team who will manage complex members, the Care Coordinator will be the primary care manager for a panel of older adult members with a variety of medical and / or behavioral health needs.

Care coordination activities will focus on supporting member’s medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.

If you reside in Indiana, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities :

• Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs
• Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person’s readiness to change to support the best health and quality of life outcomes by meeting the member where they are
• Partner and collaborate with internal care team, providers, and community resources / partners to implement care plan
• Provide referral and linkage as appropriate and accepted by member (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc.

or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)

You’llbe 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 asprovidedevelopment for other roles you may be interested in.

Required Qualifications :

• Possess one of the following : Master’s degree in social workBachelor’s degree in social work, psychology, special education, or counseling, and have 1 years of experience in providing case management services to individuals who are older adults and / or individuals with physical or developmental disabilities and / or individuals determined to have a serious mental illness (SMI)Current, unrestricted independent licensure as a Registered Nurse in Indiana Licensed practical nurse (LPN) with 3 years of clinical experience with older adults
• 1 years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g.

food banks, non-emergent transportation, utility assistance, housing / rapid re-housing assistance, etc.)

• 1 years of experience with MS Office, including Word, Excel, and Outlook
• 1 years of experience in long term support services or working with older adults
• Resident of Indiana
• Reliable transportation and the ability to travel within assigned territory to meet with members and providers

Preferred Qualifications :

• 2 years of experience in long term support services or working with older adults
• Experience working in team-based care
• Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
• Demonstrated experience / additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
• Background in Managed Care
• Bilingual in Spanish or other language specific to market populations

Physical Requirements :

• Ability to transition from office to field locations multiple times per day
• Ability to navigate multiple locations / terrains to visit employees, members and / or providers
• Ability to remain stationary for long periods of time to complete computer or tablet work duties
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

Last updated : 2024-04-23