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UnitedHealth Group LCSW - Discharge Care Manager - California in Cypress, California

This role encompasses care coordination for members while they are in the acute inpatient hospital setting and transitioning to the home environment. The discharge are manager coordination entails working with the following roles acute inpatient care managers, Medical Director team, alternate level of care teams, social workers, behavioral health advocates, facility discharge planners and internal and external member support programs. The discharge care manager role is critical to ensuring the member has a safe discharge to home and to support readmission reduction in accordance with regulatory standards.

If you are located in California, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • The DCM will coordinate and document the discharge plan in collaboration with other key clinical care team members. The DCM will follow the member while in the acute inpatient setting and responsibilities will include but are not limited to:

  • Evaluation of member discharge needs including delays in care and readmission prevention plan

  • Collaboration with providers and members to coordinate care post discharge

  • Participate in rounds with the Medical Director to discuss cases as needed

  • Identification of internal or community based program support or resources

  • Coordination with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged

  • Assist with coordination of difficult cases needing placement in an alternate level of care facility

  • Referral to community resources for assistance when needed

  • Documentation of discharge activities as outlined in standard operating procedures and data entry strategies

  • Participate in team meetings, education discussions and related activities

  • Works collaboratively with team members in a matrix environment to ensure an end to end positive experience for members, providers and care teams

Required Qualifications:

  • A current, unrestricted LCSW license in California

  • North Carolina residency required (Relocation assistance is not available for this position)

  • Experience working with multiple health insurance products (i.e. Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements

  • 3 or more years total experience in the inpatient acute setting

  • 3 years’ experience of discharge planning

  • Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance and achieve targets

  • Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action

  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

  • Ability to build and maintain relationships will be essential

  • Proficiency in typing skills and software applications that includes, but are not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft Outlook

  • Access to install secure high speed internet (minimum speed 5 download mps and 1 upload mps) via cable/DSL in home (wireless/cell phone provider, satellite, microwave, etc. does NOT meet this requirement)

  • Designated quiet workspace in your home (separated from non-workspace areas) and is able to be secured to maintain Protected Health Information (PHI) and/or Protected Information (PI)

Preferred Qualifications:

  • A case management certification

  • Bilingual a plus

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.

Job Keywords: LCSW, Discharge planning, inpatient acute setting