Skilled Inpatient Care Coordinator

$70,200 - $137,800/Yr

UnitedHealth Group - San Angelo, TX

Full-time - Entry Level

Onsite - San Angelo, TX

Insurance Carriers and Related Activities

About the position

The Skilled Inpatient Care Coordinator (SICC) plays a crucial role in optimizing patients' recovery journeys by coordinating discharge planning and engaging with patients and families. This position is integral to ensuring smooth transitions of care from hospital to home, particularly for older adults, and involves collaboration with various healthcare professionals to support patients' post-acute care needs.

Responsibilities

• Serve as the link between patients and healthcare personnel to ensure efficient transitions of care.
• Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and CMS criteria.
• Review Length of Stay (LOS) targets, outcomes, and discharge plans with providers and families.
• Complete SNF concurrent reviews and update authorizations timely.
• Collaborate with healthcare teams to establish optimal discharge plans.
• Monitor patients' progress toward discharge goals and assist in resolving barriers.
• Participate in SNF Rounds and provide updates to management.
• Ensure appropriate referrals to Health Plan and community services are made.
• Engage with patients and families weekly, either telephonically or on-site.
• Attend patient/family care conferences and assess continued appropriateness for SNF setting.
• Coordinate peer-to-peer reviews with medical directors and support new contract start-ups.
• Manage assigned caseload efficiently and enter accurate documentation into nH coordinate.
• Review monthly dashboards and readmission reports with Clinical Team Manager.
• Adhere to organizational policies and maintain confidentiality of PHI information.

Requirements

• Active, unrestricted registered clinical license in state of hire (Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist).
• 5+ years of clinical experience.
• Reside within or near San Angelo, TX.
• Ability to support specific locations for on-site facility needs within a 30-mile radius.

Nice-to-haves

• Experience working with the geriatric population.
• Familiarity with care management and disease management programs.
• Proficient with Microsoft Office applications (Outlook, Excel, PowerPoint).
• Background in patient education, rehabilitation, or home health nursing.
• Detail-oriented with proven ability to prioritize and handle multiple tasks.
• Exceptional verbal and written communication skills.
• Strong problem-solving and conflict resolution skills.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution