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UnitedHealth Group Care Coordinator I - Boulder, CO in Boulder, Colorado

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The Primary Care Physician Clinics are guided by the philosophy of the Patient-Centered Medical Home. The medical home organizes care around patients, while engaging a multidisciplinary care team working proactively to coordinate and track care for each individual patient. As a member of the care team, the Clinical Care Coordinator will support coordinated care, with an emphasis on prevention, acute care, and chronic disease management for patient populations, including those patients who are most vulnerable.

Primary Responsibilities:

  • Act as a resource person in collaboration withphysician practices to meet organizational quality and efficiency goals

  • Work with population health outreach, patientregistries, and electronic health record to support utilization and qualityperformance

  • Frequent interaction with local specialist officesor other entities to coordinate care and ensure patient follow up

  • Directly engage patients to through mailings, phonecalls or other methods ensure screening and other required preventative testsand appointments are completed

  • Support process improvement to enhance physicianand staff workflow

  • Collaborate with RN Care Managers to addresspatient needs, progress and barriers to patient care

  • Run and edit daily and ad hoc reports using EHR anddatabase programs

  • Provide Emergency Room follow up calls per protocol

  • Provide resource referrals for patients requestingassistance with social determinants of health such as food & meals,housing, home safety, vision & hearing loss, health literacy, andtransportation

  • Maintain and update shared documents and resourcesfor care team

  • Periodically reach out to community resourcecontacts to refresh patient materials and services directory

  • Manage preventative care and chronic diseaseregistries per protocol, including assisting with closing gaps in care reports

  • Quality data validation as needed

  • Reinforce care plans under provideror RN care manager’s guidance or documented protocols

  • Schedule patients for servicesnecessary to meet disease management guidelines including follow-up from otherlevels of care

  • Participate in disease managementclinics, such as diabetes management. Duties may include:

  • Documentation of patientparticipation and results in medical record

  • After training, operation ofequipment such as retinal camera

  • Tracking and routing from patients’participation

  • Communicate with the patient’s provider, therapist,specialists, and other treatment providers to maintain continuity of care, andtake immediate action to problem-solve whenever necessary

  • Participate in quality improvement processes

  • Assist in the ongoing evaluation of PCMH andrevision of policies and procedures, as well as in the development of new onesas needed

  • Adhere to best practices andevidence-based guidelines to provide patient-centric care

  • Maintain knowledge of financial considerations andlimitations of customers’ financial circumstances and insurance requirements

  • Acknowledge billing issues with patient and routeto appropriate person

  • Perform effectively in stressful and/or emergencysituations

  • Function as physician clinic liaison, providingconsultation/problem-solving between programs, medical staff, communityprofessionals, and outside agencies

  • Serve on committees as assigned

  • Attend regional education meetings as required for clinicor practice certifications

  • Adhere to standard precautions as appropriate,which may include:

  • The use of protective barriers, as appropriate(e.g., gloves, masks, gowns, pocket masks, and/or safety glasses)

  • Handling and disposing of infectious wasteappropriately

  • Hand washing as appropriate

  • Maintains competency testing as required by directsupervisors

When applicable, employees must be able to adjust the essential functions they perform appropriately to the age of their patient/customer.

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’sDegree, health field desirable

  • Validand unrestricted driver’s license

  • Mustbe in a daily commutable distance to office locations in Boulder County, CO

Preferred Qualifications:

  • American Heart Association current BLScertification preferred

  • Knowledgeof Patient-Centered Care and the Patient-Centered Medical Home (PDMH) model ofprimary care preferred

  • Experiencewith EPIC preferred

Careerswith Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's bestwork.(sm)

Diversity creates ahealthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/AffirmativeAction employer and all qualified applicants will receive consideration foremployment without regard to race, color, religion, sex, age, national origin,protected veteran status, disability status, sexual orientation, genderidentity or expression, marital status, genetic information, or any othercharacteristic protected by law.

UnitedHealth Group isa drug-free workplace. Candidates are required to pass a drug test beforebeginning employment.

Job Keywords: Healthcare, Hospital, EPIC, Clinical Care, Boulder, Longmont, CO, Colorado