At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

As a LPN MDS-HC Coordinator you will be a valued member of an Integrated and complex clinical management model that is member-centric and facilitates collaboration between health care teams. We focus on identifying and addressing physical, behavioral, psychosocial, and social determinants of health needs of our members, while also supporting member goals and choices through a person-centered, trauma-informed, and culturally attuned approach.

In this telecommuting role, you’ll support field care managers by systematically reviewing and transcribing MDS-HC assessments into the State Portal. You will provide coaching and education, identify trends to determine additional educational opportunities to facilitate and ensure timely and accurate MDS-HC submissions in accordance with state contractual requirements. This position reports to the Manager of Health Services in the Health Services Department within the UnitedHealthcare Community Plan of Massachusetts.

If you reside in the state of Massachusetts or a bordering state, you will enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Review and transcribe the MDS-HC data into the State’s MDS-HC online portal

• Submit timely MDS-HC data in accordance with state contractual requirements including but not limited to obtaining signatures as needed

• If information is missing or if the data does not support the Request for Services, the MDS RN Coordinator will provide education and coaching and request timely and accurate resolution

• Identify trends to facilitate inter-rater reliability

• Assist with implementing and maintaining reporting to support accurate and timely MDS-HC submissions including root cause analysis and action planning associated with denials, rating category changes and FEW status

• Communicate with all stakeholders the required information, issues and remediation efforts needed to ensure quality coordinated data is realized in a regularly scheduled communication vehicle

• Other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• 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.)

• More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be 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 as provide development for other roles you may be interested in.

Required Qualifications:

• Current and unrestricted independent licensure as an LPN for MA

• 2+ years of clinical experience

• Intermediate level of proficiency with MS Office, including Word, Excel, and Outlook

• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

• Must reside in state of Massachusetts or a bordering state

Preferred Qualifications:

• Certified Care Manager (CCM) preferred but not required

• 1+ years of community case management experience coordinating care for individuals with complex needs

• Prior experience with completing an MDS-HC

• Ability to utilize an Electronic Medical Record or other electronic platforms

• Bilingual

Physical Requirements:

• Ability to remain stationary for long periods of time to complete computer or tablet work duties

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

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