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Stryker Corporation

Case Manager LTSS - Field Work in San Luis Valley, CO

Stryker Corporation, Aurora, Colorado, United States, 80012

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Caring. Connecting. Growing together .

Position in this function supports corporate objectives by utilizing a demonstrated competency of Long-Term Services and Supports (LTSS) to provide Case Management and participate in case conferences.

Expect to spend about 75% of your time visiting members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Target territory would be the following Colorado counties: Alamosa, Mineral, Rio Grande, Saguache, Costilla, and/or Conejos. If you are located in San Luis Valley, CO, you will have the flexibility to work remotely* as you take on some tough challenges.

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities

Intake/screening/referral, assessment/reassessment, development of support plans, on-going case management, monitoring of the Member's health and welfare, documentation of contacts and case management activities in the Department-prescribed system, resource development, and case closure

Respect confidentiality and maintain confidence as described in the UHG Employee Handbook and acknowledged through signature by all employees. Maintain confidentiality of patient information. The ability to maintain confidentiality is a critical and essential component of this position

Conduct monitoring contacts as prescribed by the Department. Contact the Member at least once within each quarterly period or more frequently as warranted by the Member's condition /or as determined by the rules of the LTSS Program in which the Member is enrolled

Conduct face-to-face contact with Members at least every six months or more frequently if warranted by the Member's condition or the rules of the LTSS Program in which the Member is enrolled. Update the current approved assessment tool and care or support plan in the appropriate documentation system(s) to reflect any changes in condition or services

Complete a new assessment during a face-to-face reassessment annually or more frequently if warranted by the Member's condition or if required by the rules of the LTSS Program in which the Member is enrolled. Complete additional assessments as needed/required

Monitor the delivery of services and supports identified within the Support Plan and the Prior Authorization Request (PAR)

Attend Department provided training for CMA agencies as well as agency provided in-service and staff development training

Conducting work that is in accordance with the CMA Contract Agreement's requirements. This includes but is not limited to providing work that is accurate, timely, and complete

In the event, at any time throughout the case management process, the case manager suspects an individual to be a victim of mistreatment, abuse, neglect, exploitation or a harmful act, the case manager shall immediately refer the individual to the protective services section of the county department of social services of the individual's county of residence and/or the local law enforcement agency

May take on special assignments and projects on an as needed basis. Assist with system assessment and development as needed

This position requires travel. Requires independent, reliable, flexible, and on-demand, transportation for travel between various locations and timely arrival and departure from various locations. The employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage

Required Qualifications

Meet one of the following:

A bachelor's degree; or

5+ years of relevant experience in the field of Long-Term Services and Supports, which includes Developmental Disabilities; or

Some combination of education and relevant experience appropriate to the requirements of the position

Relevant experience is defined as:

Experience in one or more of the following areas: long-term services and supports, gerontology, physical rehabilitation, disability services, children with special health care needs, behavioral science, special education, public health or nonprofit administration, or health/medical services, including working directly with persons with physical, intellectual or Developmental Disabilities, mental illness, or other vulnerable populations

1+ years of experience with MS Office, including Word, Excel, and Outlook

Reliable transportation and the ability to travel within assigned territory to meet with members and providers

Reside or willing to travel to Alamosa, Mineral, Rio Grande, Saguache, Costilla, and/or Conejos

Preferred Qualification

Experience as a caseworker or case manager with LTSS population, in a private or public social services agency may substitute for the required education on a year for year basis

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 transport equipment to and from field locations needed for visits (ex. laptop, etc.)

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

Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Equal Employment Opportunity 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.

Drug-Free Workplace UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Benefits and Compensation 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). 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.

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