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About naviHealth – Transforming the Way Care Is Delivered
At naviHealth, a proud member of the UnitedHealth Group family, we are redefining health‑care delivery by seamlessly connecting hospitals, skilled‑nursing facilities, and home‑based services. Our mission is simple yet profound: empower older adults to spend as many healthy days as possible at home. We achieve this by integrating physical, mental, and social care into a single, cohesive journey—every step guided by cutting‑edge technology and a deep commitment to compassion.
Our naviHealth product is at the forefront of this transformation, bringing together interdisciplinary teams, sophisticated analytics, and personalized outreach to ensure smooth transitions from acute care to post‑acute settings. As a Remote Clinical Review Coordinator based in Arkansas, you will be a critical catalyst in this mission, serving as the trusted liaison between patients, families, and the broader health‑care ecosystem.
Why Join Our Team?
- Purpose‑Driven Work: Directly impact the quality of life for seniors and their families.
- Innovative Culture: Collaborate with thought leaders who leverage data, telehealth, and behavioral science to shape the future of care.
- Flexibility & Autonomy: Work from the comfort of your home while maintaining a structured, supportive environment.
- Career Growth: Access continuous learning, mentorship, and clear pathways to senior clinical and leadership roles.
- Competitive Compensation: Receive a market‑aligned salary, performance‑based incentives, comprehensive benefits, and wellness programs.
Position Overview
The Cross‑Market Care Coordinator (CMCC)—also known as the Skilled Inpatient Care Coordinator (SICC)—plays a pivotal role in guiding patients through the complex landscape of post‑acute care. Operating remotely, you will conduct functional assessments, collaborate with multidisciplinary teams, and orchestrate discharge plans that align with each patient’s goals and regulatory standards.
Key Responsibilities
Clinical Assessment & Coordination
- Serve as the primary conduit between patients, families, and health‑care personnel, ensuring timely and smooth transitions of care.
- Perform comprehensive Skilled Nursing Facility (SNF) assessments using clinical expertise and CMS criteria at admission and throughout the patient’s stay.
- Review Length of Stay (LOS) targets, outcome metrics, and discharge objectives with providers, patients, and caregivers.
- Complete all concurrent SNF reviews, updating authorizations promptly to reflect changing clinical status.
- Participate in weekly SNF rounds, delivering accurate, up‑to‑date information to senior managers and medical directors.
Collaboration & Communication
- Engage with interdisciplinary teams—including physicians, referral coordinators, discharge planners, social workers, physical therapists, occupational therapists, and speech‑language pathologists—to develop optimal discharge strategies.
- Facilitate weekly telephonic outreach to patients, families, and caregivers, providing education, support, and clarification on care plans.
- Attend patient/family care conferences and document key decisions and action items.
- Coordinate peer‑to‑peer reviews with naviHealth Medical Directors, ensuring alignment with utilization management protocols.
Utilization Management & Compliance
- When delegated, evaluate referral requests for continued SNF stay, forwarding complex cases to licensed physicians for NOMNC issuance.
- Maintain up‑to‑date knowledge of federal and state regulations, including CMS guidelines, HIPAA, and health‑plan policies.
- Ensure strict confidentiality of protected health information (PHI) in all documentation and communications.
- Document all clinical activities accurately in the nH coordinate system, adhering to audit‑ready standards.
Operational Excellence
- Manage a defined caseload efficiently, employing strong time‑management and prioritization skills.
- Conduct daily census reviews to identify barriers, develop mitigation strategies, and support colleagues as needed.
- Analyze monthly dashboards, readmission reports, and quarterly metrics with Clinical Team Managers to drive continuous improvement.
- Support new contract start‑ups by sharing expertise and ensuring smooth knowledge transfer among staff.
- Participate in cross‑training initiatives, expanding proficiency across multiple contracts and client sites.
Essential Qualifications
- Active, unrestricted clinical license in Arkansas: Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), or Speech‑Language Pathologist (SLP).
- Minimum 5 years of direct clinical experience in acute, post‑acute, or home‑health settings.
- Demonstrated ability to conduct functional assessments and interpret CMS criteria.
- Proven proficiency in telephonic communication and virtual care coordination.
- Strong ethical foundation with a commitment to patient confidentiality and regulatory compliance.
Preferred Qualifications & Skills
- Experience in patient education, rehabilitation, or home‑health nursing with a focus on geriatric populations.
- Familiarity with care management, utilization review, and disease‑management programs.
- Advanced competency with Microsoft Office Suite (Outlook, Excel, PowerPoint) and electronic health record (EHR) systems.
- Exceptional attention to detail, combined with the ability to work independently and as an integral team member.
- Demonstrated problem‑solving, conflict‑resolution, and negotiation capabilities.
- Excellent verbal and written communication skills, tailored to diverse audiences including clinicians, administrators, and families.
- Ability to prioritize, plan, and manage multiple simultaneous tasks in a fast‑paced environment.
What You’ll Gain – Career Growth & Development
At naviHealth, your professional development is a strategic priority. As a Remote Clinical Review Coordinator, you will have access to:
- Mentorship Programs: Pairing with senior clinical leaders to accelerate skill acquisition and leadership readiness.
- Continuing Education: Tuition reimbursement, certification support (e.g., CPHQ, CBRN), and access to a library of online courses.
- Leadership Pathways: Opportunities to move into senior care coordination, utilization management, or clinical operations leadership roles.
- Innovation Projects: Participation in pilot programs leveraging AI, predictive analytics, and virtual reality for patient engagement.
Work Environment & Culture
Our remote workforce thrives on a culture of collaboration, respect, and accountability. While you will primarily work from a home office, you’ll remain an integral part of a vibrant virtual community that values:
- Inclusivity: Diverse perspectives are celebrated; every voice matters.
- Wellness: Access to mental‑health resources, virtual fitness programs, and flexible scheduling to support work‑life harmony.
- Recognition: Regular performance awards, peer‑to‑peer shout‑outs, and milestone celebrations.
- Technology Enablement: State‑of‑the‑art telehealth platforms, secure messaging, and collaborative tools that keep you connected.
Compensation, Perks & Benefits (General Overview)
- Competitive Base Salary: Aligned with industry benchmarks for Arkansas‑licensed clinicians.
- Performance Incentives: Quarterly bonuses tied to quality metrics, patient satisfaction, and operational efficiency.
- Comprehensive Health Coverage: Medical, dental, vision, and prescription plans.
- Retirement Savings: 401(k) with company match.
- Paid Time Off & Holidays: Generous accruals to support rest and rejuvenation.
- Professional Development Stipends: Funding for certifications, conferences, and continuing education.
- Remote Work Support: Home office stipend, ergonomic equipment allowance, and high‑speed internet subsidy.
- Employee Assistance Programs: Confidential counseling, legal resources, and financial wellness tools.
Commitment to Diversity, Equity & Inclusion
UnitedHealth Group and naviHealth stand firmly behind a diverse, equitable, and inclusive workplace. We believe that a broad spectrum of experiences, backgrounds, and ideas drives better health outcomes for the communities we serve. As an equal opportunity employer, we welcome applicants of all races, genders, sexual orientations, ages, abilities, and veteran status.
How to Apply
If you are ready to make a tangible difference in the lives of seniors while advancing your own career in a forward‑thinking, supportive environment, we encourage you to submit your application today. Join us in shaping a healthier future—one patient at a time.
Take the Next Step
Click the link below to begin your application process. We look forward to learning how your expertise, passion, and vision align with the mission of naviHealth.
Apply Now
Closing Thoughts
At naviHealth, we are not just hiring for a role; we are inviting you to become a champion of patient‑centered care, an innovator in telehealth, and a leader in the evolving landscape of health‑care coordination. Your expertise will help bridge gaps, reduce readmissions, and empower families to make informed decisions—ultimately delivering the promise of “more days at home.”
We can’t wait to welcome you to our team.
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