RN EPSDT Coordinator - Remote in Arizona

apartment UnitedHealthcare location_onPhoenix, AZ, US

$60,200 - $107,400 / year

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.

This position is responsible for supporting coordination of care for Early, Periodic, Screening, Diagnostic & Treatment (EPSDT) aged members including prevention interventions, coordination, data collection, measurement of EPSDT services and exceeding EPSDT quality and performance measure goals. This position is responsible for ongoing improvement activities associated with EPSDT eligible members, and reports to the Clinical Quality manager.

If you are located in Arizona, you will have the flexibility to work remotely* as you take on some tough challenges. This is a full time role based in Arizona with some travel required to the Phoenix office based on business needs.

Primary Responsibilities

Ensure members receive EPSDT services and promote preventive health strategies
Promote access to oral health care services
Identify and coordinate assistance for identified member needs
Serve as a liaison with community partners and participate in cross-functional meetings
Support health plan coordination actions related to Arizona Early Intervention Program (AzEIP) for children with developmental delays or disabilities
Coordination of care for EPSDT aged members, keeping track of the members' annual well visits and immunizations and identifying and implementing interventions to address identified opportunities for improvement
Become a subject matter expert on EPSDT and AzEIP activities for the health plan
Coordinate care for EPSDT members with elevated blood lead levels and ensure timely communication with state regulatory agencies
Support and monitor health plan responsibilities associated with the Vaccines for Children (VFC) program
Ensure timely submission of all state EPSDT reporting requirements
Assist Clinical Program Manager/QM Associate Director in meeting regulatory quality standards
Prepare and deliver formal presentations to committees or work groups
Work independently on assigned projects under the supervision of the QM Manager and/ or QM Associate Director
Develop provider and member education and training materials related to health promotion
Assists with the maintenance of Quality policies & procedures; makes recommendations to other departments for the development of policies and procedures to meet the quality goals of the plan
Solid problem-solving, organizational, and communication skills

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

Current, unrestricted RN license in the state of Arizona
2+ years of healthcare experience
Proficiency with Word, and Excel
Reside in Arizona

Preferred Qualifications

Master's degree in health services, public health, healthcare administration, or related field
Certified Professional in Healthcare Quality (CPHQ) or Certified in Health Care Quality and Management (CHCQM)
2+ years of experience with pediatric or family practice nursing
Experience with Early, Periodic, Screening, Diagnostic & Treatment (EPSDT)
Experience with health plan coordination actions related to Arizona Early Intervention Program (AzEIP) for children with developmental delays or disabilities
Experience with quality improvement activities
Experience with Medicaid and/or Medicare health care regulator or insurance organization
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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