Transition Coordinator - Remote in Indiana

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.

The Transition Coordinator identifies, coordinates or provides continuity of care and appropriate levels of care under the direct supervision of an RN for Hoosier Care Connect members. The Transition Coordinator is responsible for coordinating care management and utilization management information as members move into and out of the health plan. This role will be based in Indiana.

If you reside in Indiana, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Oversight of all member transitions in and out of the Hoosier Care Connect program and the Contractor’s enrollment
• Ensures the transfer and receipt of all outstanding prior authorization decisions, utilization management data and clinical information such as disease management, care management and complex case management notes.
• Establishes relationships with the MCE Transition Coordinators
• Documents transition coordination activities in the member’s record in the care management platform, CommunityCare
• Serves as a Liaison with the Department of Child Services, establishing relationships and ongoing communication to promptly resolve any issues identified
• Aids in the transition of the Hoosier Care Connect wards and foster members
• Participates in other care coordination duties as assigned

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:

• 1+ years of professional experience working with Indiana Medicaid
• Experience working in a member outreach, managed care or care coordination setting
• Resident of Indiana

Preferred Qualifications:

• Experience working with wards and fosters or the Department of Child Services

• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

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.