[Hiring] Senior Wellness Coordinator @UnitedHealth Group

Role Description

The Senior Wellness Coordinator will focus on FUH (follow up after hospitalization) and meeting our HEDIS goals by assisting facilities to obtain aftercare appointments for our members who have been psychiatrically hospitalized and provide resources to facilities to assist them with discharge planning.

Schedule: Monday through Friday a 40-hour work week between the hours of 6:00 am to 6:00 pm standard business hours in the time zone related to the work (market)(CST)

Location: Remote Nationwide

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Conduct outreach to inpatient behavioral health facilities and designated facility contacts to obtain complete follow-up appointment information, including appointment date, time, and provider.
• Support efforts to ensure members have appropriate follow-up care arranged following behavioral health hospitalization.
• Assist facilities with identifying appropriate in-network outpatient providers when follow-up services have not yet been established.
• Identify barriers that may affect a member's ability to obtain or keep follow-up appointments and assist with resources related to needs such as transportation and financial considerations.
• Provide facilities with information regarding existing treating providers and other resources that may support successful discharge planning.
• Follow up with facility discharge contacts when appointment or discharge information is incomplete or has not been reported.
• Assist with identifying and addressing health-related social needs and other barriers that may affect successful transition to outpatient care.
• Respond to facility requests for assistance with discharge planning, resources, and referrals.
• Maintain clear and accurate documentation of outreach activities, appointment information, referrals, resources provided, and outreach outcomes.
• Collaborate with internal partners and facility contacts to support continuity of care following behavioral health hospitalization.
• Manage assigned cases and outreach activities in accordance with established workflows, documentation requirements, and quality expectations.
• Maintain professional, compassionate, and solution-focused communication when interacting with providers, facilities, internal partners, and members.
• Perform other duties as assigned.

Qualifications

• High School Diploma/GED
• 2+ years of experience in behavioral health field
• 1+ years of computer proficiency experience
• 1+ years of telephonic customer service experience
• 1+ years of experience handling sensitive issues with members and providers in a confidential manner
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Ability to work a 40-hour work week in the time zone related to the work (market) (CST)

Preferred Qualifications

• Demonstrated managed care experience
• Knowledge of HEDIS
• Experience with provider outreach
• Proven working knowledge of community-based resources and services
• Experience working within a medical/behavioral setting
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients

Soft Skills

• Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn
• Solid oral and written communication skills — specifically telephone skills
• Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work
• Experience handling sensitive issues with members and providers in a confidential manner
• Excellent customer service skills
• Solid team player and team building skills

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)