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DescriptionSkilled Inpatient Care Coordinator – naviHealth – Sebring FL (part of UnitedHealth Group) 4,856 reviews Sebring, FL 33871 Full-time Optum 4,856 reviews Read what people are saying about working here. Job details Job Type Full-time Full Job Description 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 thats improving the lives of millions. Here, innovation isnt about another gadget, its about making health care data available wherever and whenever people need it, safely and reliably. Theres no room for error. Join us and start doing your lifes best work.(sm) naviHealth, part of Optum and the UnitedHealth Group family of businesses, combines the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. With millions of lives touched, we are innovating the way health care is delivered from hospital to home so seniors can lead more fulfilling lives. A career with us means making an impact in the lives of those we serve, including vulnerable populations who benefit from care that is more efficient, more effective and more human. Our environment empowers our team members to elevate our interactions with each other and the experiences we deliver to our patients, giving them more days at home. The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients recovery journeys. The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care. Primary Responsibilities: Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating authorizations on a timely basis Collaborate effectively with the patients health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. Assure patients progress toward discharge goals and assist in resolving barriers Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed Attend patient/family care conferences Assess and monitor patients continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate Coordinate peer to peer reviews with naviHealth Medical Directors Support new delegated contract start-up to ensure experienced staff work with new contract Manage assigned caseload in an efficiently and effectively utilizing time management skills Enter timely and accurate documentation into the CM Tool application Daily review of census and identification of barriers to managing independent workload and ability to assist others Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement Adhere to organizational and departmental policies and procedures Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws Perform other duties and responsibilities as required, assigned, or requested Youll 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: Active, unrestricted registered clinical license – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist 3+ years of clinical experience Proficient with Outlook, Excel and Word Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Qualifications: 2+ years of Case Management experience Experience working with geriatric population Patient education background, rehabilitation, and/or home health nursing experience Exceptional verbal and written interpersonal and communication skills Solid problem solving, conflict resolution, and negotiating skills Independent problem identification/resolution and decision-making skills Detail-oriented Able to prioritize, plan, and handle multiple tasks/demands simultaneously Team player Work Conditions and Physical Requirements: Ability to establish a home office workspace Ability to manipulate laptop computer (or similar hardware) between office and site settings Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time Ability to communicate with clients and team members including use of cellular phone or comparable communication device Ability to remain stationary for extended time periods (1 – 2 hours) Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, 25 – 50% of the time If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years. To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers with Optum. Heres 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 worlds 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 lifes best work.(sm) 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. Hiring Insights Job activity Posted Today UnitedHealth Group Today Report job
Tell Me About Yourself – A Good Answer to This Interview Question
Interviews for Top Jobs at naviHealth
Manager Interview
I interviewed at naviHealth
Interview
Good questions were asked based on my experience based on specific needs for the role. Reasonable expectations were set on follow up, everyone I met with was polite and also very accommodating.
- Why do I want the role
Corporate UM Medical Director Interview
I interviewed at naviHealth
Interview
Company recruiter laid out expectations well and was prompt with replies, getting questions answered. Interviewed by phone first with the recruiter (submitted application to nH directly from their online website job listing; heard back after several weeks), then by phone with Exec Medical Director, then by Zoom with several team members of various levels within 2 weeks.
- Do you imagine yourself in the potential position for at least the next 12 mos?How comfortable are you with peer-to-peer conversations (which can get dicey)? What’s your experience on how you handle them?
Data Quality Engineer Interview
I applied online. I interviewed at naviHealth (Austin, TX) in Oct 2021
Interview
The recruiter called me at 3 pm and set up an interview the next day at 9 am. The Interview was for Data Quality Engineer. My experience is neutral. The job description said its for Quality engineer and all the questions are from data warehouse concept
- 1. How to test incremental data in ETL?2.What is the difference between Application testing, database testing and ETL testing.3. Difference between Fact Table and Dimensions Table.4. No behavioral questions.
The latest conversations about Healthcare
Anonymous Employee in New York, NY
I applied online. The process took 3 weeks. I interviewed at naviHealth (New York, NY) in Jan. 2021
Phone call screen, then 2 interviews on Zoom, and then wait for a call. They will ask about your experience and if you have any relevant case management experience. Some never hear back if they are not offered a position.
Be the first to find this interview helpful
Anonymous Employee in New York, NY
I applied through a recruiter. The process took 1 week. I interviewed at naviHealth (New York, NY) in Oct. 2020
Very in depth interview with clinical scenarios… What would you do in this case? Provide clinical rationale for intervention. Interactive interview with opportunity to ask about the company and job role with examples of what a day to day may look like. Pros and cons of the job.
Be the first to find this interview helpful
Anonymous Employee in New York, NY
I applied online. The process took 1 week. I interviewed at naviHealth (New York, NY) in Sep. 2020
The initial interview was with talent acquisition and the subsequent interview was with the clinical managers. The communication and set up of during the process was clear, and they were flexible with my schedule.
Be the first to find this interview helpful
Anonymous Employee in Denver, CO
I applied through a recruiter. I interviewed at naviHealth (Denver, CO) in Jan. 2019
Very thorough and long process! Know CMS Medicare guidelines . Sometimes in certain markets it’s who you know not what you know! There are multiple interviews by different managers in different markets and different levels
Be the first to find this interview helpful
DescriptionSkilled Inpatient Care Coordinator – naviHealth – Sebring FL (part of UnitedHealth Group) 4,856 reviews Sebring, FL 33871 Full-time Optum 4,856 reviews Read what people are saying about working here. Job details Job Type Full-time Full Job Description 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 thats improving the lives of millions. Here, innovation isnt about another gadget, its about making health care data available wherever and whenever people need it, safely and reliably. Theres no room for error. Join us and start doing your lifes best work.(sm) naviHealth, part of Optum and the UnitedHealth Group family of businesses, combines the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. With millions of lives touched, we are innovating the way health care is delivered from hospital to home so seniors can lead more fulfilling lives. A career with us means making an impact in the lives of those we serve, including vulnerable populations who benefit from care that is more efficient, more effective and more human. Our environment empowers our team members to elevate our interactions with each other and the experiences we deliver to our patients, giving them more days at home. The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients recovery journeys. The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care. Primary Responsibilities: Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating authorizations on a timely basis Collaborate effectively with the patients health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. Assure patients progress toward discharge goals and assist in resolving barriers Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed Attend patient/family care conferences Assess and monitor patients continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate Coordinate peer to peer reviews with naviHealth Medical Directors Support new delegated contract start-up to ensure experienced staff work with new contract Manage assigned caseload in an efficiently and effectively utilizing time management skills Enter timely and accurate documentation into the CM Tool application Daily review of census and identification of barriers to managing independent workload and ability to assist others Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement Adhere to organizational and departmental policies and procedures Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws Perform other duties and responsibilities as required, assigned, or requested Youll 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: Active, unrestricted registered clinical license – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist 3+ years of clinical experience Proficient with Outlook, Excel and Word Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Qualifications: 2+ years of Case Management experience Experience working with geriatric population Patient education background, rehabilitation, and/or home health nursing experience Exceptional verbal and written interpersonal and communication skills Solid problem solving, conflict resolution, and negotiating skills Independent problem identification/resolution and decision-making skills Detail-oriented Able to prioritize, plan, and handle multiple tasks/demands simultaneously Team player Work Conditions and Physical Requirements: Ability to establish a home office workspace Ability to manipulate laptop computer (or similar hardware) between office and site settings Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time Ability to communicate with clients and team members including use of cellular phone or comparable communication device Ability to remain stationary for extended time periods (1 – 2 hours) Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, 25 – 50% of the time If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years. To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers with Optum. Heres 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 worlds 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 lifes best work.(sm) 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. Hiring Insights Job activity Posted Today UnitedHealth Group Today Report job
Popular Careers with naviHealth Job Seekers
FAQ
What are 10 good interview questions and answers?
- What Are Your Weaknesses? …
- Why Should We Hire You? …
- Why Do You Want to Work Here? …
- What Are Your Goals? …
- Why Did You Leave (or Why Are You Leaving) Your Job?
What questions will I be asked at a hospital interview?
- Tell me about yourself.
- Walk me through your resume.
- How did you hear about this position?
- Why do you want to work at this company?
- Why do you want this job?
- Why should we hire you?
- What can you bring to the company?
- What are your greatest strengths?
What are the 7 most common interview answers?
- “Tell me about yourself.” …
- “Why did you choose to apply?” …
- “What is your biggest strength?” …
- “What is your biggest weakness?” …
- “How do you see the future of healthcare?” …
- “How do you stay informed on current events and advancements in healthcare?”