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 Care Coordinator, Spectrum Program - Telecommute in Phoenix, AZ - PHOENIX, Arizona, United States

Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Health - Psych/Behavioral/Mental
Nursing - Case Management
Travel: Minimal 
Accept candidates: from anywhere 
Languages: English - Fluent
Spanish - Fluent
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 888868 / Latpro-3758033 
Date posted: Oct-15-2020
State, Zip: Arizona, 85001


Spectrum POD, Care Coordinator is responsible for ongoing Clinical care coordination and care Management for members attributed to Physician/Physician Practices participating in UnitedHealthcare’s UHC Spectrum Program. The Care Coordinator drives Referral Management and appropriate site of service, facilitates Care Transitions and Care for High Risk members; Collaborates with PCP, Specialists, and POD Clinical Pharmacist to insure appropriate, coordinated service delivery. This position integrates pharmacy management, care coordination, utilization management, and care transition management.

If you are located within commutable distance from Phoenix, AZ, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
  • Accountable for successful deployment of UHC's Clinical Support Care Coordination program, UHC Spectrum, at the practice level, including but not limited to integration of care coordination for pharmacy management, care transitions management, and referral management
  • Build and effectively maintain relationship with the practice leadership and key clinical influencers actively involved in practice day to day operations
  • Consult with patients identified by PCP as needing a Specialist Referral to recommend High Quality, Lower Cost Premium Designated Specialists; facilitates appointments with Specialists
  • Track completion of Referral and Member adherence with PCP Care Plan
  • Consults with patients who have had an Inpatient/ER Discharge; facilitates scheduling transitions of care follow up appointments with PCP/Specialists
  • Track completion of follow up appointments and Member adherence with PCP Care Plan
  • Consult with patients identified through PCP referral, Care Continuum/Discharge Notification, Pharmacist referral to discuss diagnosis, Rx plan, care path, and potential barriers to adherence
  • Check-in on the patient regularly and evaluate and document his/her progress as it relates to care coordination and management responsibilities tied to the Spectrum Program
  • Educate patients about their condition, medication, and care path
  • Notifies PCP and Pharmacist on the POD Team of relevant clinical information gathered during calls to patient that may affect the patient’s disease state or medication regimen
  • Assist and support department leaders in summarizing and disseminating experience - related learning's by way of team updates, written reports / articles, and / or presentations as called for by directors
  • Educate & Deploy technology tools to support Practice Transformation
  • Integrate technology tools into practice workflows
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:

  • Bachelor’s degres
  • 4+ years of Care Coordination or Case Management experience
  • Background in managing populations with complex medical or behavioral needs
  • Ability to prove technical knowledge of Microsoft Excel; ability to quickly learn Clinical Applications
  • Willingness to travel 25% for same day, face to face meetings throughout the greater Phoenix area
  • Bilingual: English and Spanish
Preferred Qualifications:
  • Clinical or Behavioral Health Bachelor’s degree
  • Experience preparing and presenting information to clinical and executive level leadership
  • Physician practice experience
  • Strong communication skills with patients, providers and other healthcare professionals
  • Strong Relationship building skills with internal and practice teams to drive goal alignment


Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 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: Care Coordinator, Spectrum Program, Clinical Administrative Coordinator, CAC, Care Coordination, Case Management, Complex Medical Needs, Behavioral Needs, Physician Practice, Phoenix, AZ, Work At Home, Remote, Work From Home, Telecommute, Telecommuter, Telecommuting, UHG, UnitedHealth Group, UHC, UnitedHealthcare


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