Community & State Lock-In Coordinator - Remote in Missouri ID-5579

January 3, 2025

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.

As a Lock-In Coordinator you will work under the direction of the Associate Director | Clinical Utilization & Analysis. A high attention to detail is important for this role as you review claims data of medically complex members who may be experiencing significant addiction and/or behavioral health conditions.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.

Travel is 0-10% within the state of Missouri

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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Primary Responsibilities

Review member’s claims data
Work with Medical Director to discuss member utilization patterns
Discuss and educate providers on health plan Lock-In program
Partner with care team (community, providers, internal staff)
Knowledge and continued learning of community cultures and values

What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together – Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: uhgbenefits

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

High School Diploma/GED (or higher)
Current & active LPN license in the state of Missouri
1+ years of clinical experience in a hospital direct care setting or case management
Intermediate level of proficiency with Computers, typing, and entering and retrieving data in electronic clinical records
Reside within the state of Missouri

Preferred Qualifications

Bachelor’s Degree (or higher) in a health-related field
Previous care management experience
Experience working in Managed Care
Knowledge of Medicaid and/or Medicare population
Experience with vulnerable subpopulations including members with homelessness, substance use disorders and other complex chronic conditions
Proficiency with Microsoft Excel (ability to create, edit, and sort spreadsheets, basic analytical formulas (VLOOKUP, if) and Microsoft Word (create and edit correspondence)

Soft Skills

Experience with email, internet research, use of online calendars and other software applications

Telecommuting Requirements

Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service