There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)
Positions in this function are responsible for supporting prevention interventions, coordination, data collection, and measurement of EPSDT services. This position is responsible for ongoing improvement activities associated with EPSDT eligible members, and reports to the Quality Management Leader. In addition, the EPSDT Coordinator reviews, identifies, and works with management to resolve any problematic EPSDT issues.
You'll enjoy the flexibility to telecommute* from anywhere within Hawaii as you take on some tough challenges.
Design and manage specific Quality Improvement (QI) interventions related to ensuring member receipt of EPSDT services and the creation of health improvement strategies under the direction of the QM Leader or manager
Assist with monitoring of EPSDT data entry efforts and support monitoring and execution of follow-up, coordination of care and referral activities based upon EPSDT data obtained from EPSDT forms
Support health plan coordination actions associated with State of Hawaii Department of Health Early Intervention Section (EIS) efforts to offer support and services for children with developmental delays or disabilities
Meet with medical providers to discuss EPSDT, EIS or VFC activities, requirements or performance
In-person visits with member and or personal representative to review and address concerns and issues (including compliance issues)
Training to providers, community organizations and other identified groups to improve understanding of our EPSDT program, changes to the program and provision of information regarding community resources
Develop provider and member education and training materials related to health promotion
Early Intervention Section (EIS) efforts to offer support and services for children with developmental delays or disabilities
Support and monitor health plan responsibilities associated with the Vaccines for Children (VFC) program
Conduct an annual evaluation of the processes and outcomes for EPSDT program and continuous quality improvement activities
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.
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Job Keywords: RN, BSN, EPSDT, Early And Periodic Screening, Diagnostic, And Treatment, Care Coordinator, Case Manager, Pediatric Nursing, Pediatrics, Pediatric, Medicaid, Medicare, Registered Nurse, Social Worker, Social Work, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Honolulu, Maui, Kauai, Hawaii, HI