EPSDT Coordinator - Remote - Early Preventative Screening Diagnostic Testing Program Management

Join the UnitedHealthcare Team as an EPSDT Coordinator - Remote

We are seeking a highly skilled and dedicated EPSDT Coordinator to join our team remotely! As an EPSDT Coordinator, you will play a pivotal role in facilitating, implementing, and coordinating the EPSDT Member Outreach Program and ensuring overall compliance with immunization and EPSDT examinations. This is a unique opportunity to make a positive impact on the lives of millions of people by simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care.

About UnitedHealthcare

At UnitedHealthcare, we're committed to helping people live healthier lives and making the health system work better for everyone. We believe that everyone, regardless of their background, deserves the opportunity to live their healthiest life. Our mission is to simplify the healthcare experience, create healthier communities, and remove barriers to quality care. We're dedicated to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

Job Summary

The EPSDT Coordinator will serve as the health plan resource for EPSDT/Well Child Program and will be responsible for planning, organizing, and coordinating all aspects of the EPSDT program. The successful candidate will ensure compliance with all state and federal requirements and NCQA standards. This role requires a strong and diverse skillset in relevant areas to drive success.

Key Responsibilities

• Program Coordination: Identify and facilitate assistance for member needs specific to maternal/child health and EPSDT.
• Performance Reporting: Create and present quarterly executive summaries on performance data such as the CMS Form 416 EPSDT report.
• Education and Outreach: Provide culturally competent educational resources for healthcare provider-facing staff on EPSDT and related Population Health.
• Provider Education: Educate healthcare providers in their office and via electronic communication channels on clinical measures and EPSDT.
• Policy and Procedure Management: Maintain policies and procedures, as well as work plans for EPSDT.
• Performance Improvement: Participate in Performance Improvement Projects and performance measure campaigns as assigned.

Requirements

Essential Qualifications

• Clinical Experience: 3+ years of clinical experience.
• Pediatric Experience: 2+ years of clinical experience within the child and pediatric population.
• Technical Skills: 1+ year of experience with MS Office, including Word, Excel, and Outlook.
• Presentation Skills: Experience presenting to others.
• Data Analysis: Proven ability to create spreadsheets in Excel.
• Travel Requirements: Willing or ability to travel locally up to 25% of the time.
• Residency: Currently reside in New Mexico.

Preferred Qualifications

• Nursing Background: BSN.
• RN Licensure: Current, unrestricted Registered Nurse (RN) licensure in the state of NM or a compact license allowing practice in NM.
• Pediatric Nursing Experience: Pediatric nursing experience.
• Wellness Quality Metrics: Experience with wellness quality metrics related to childhood health screenings.
• Provider Office Experience: Experience working with provider offices.
• Managed Care Experience: Clinical nursing experience in a managed care environment.
• Medicaid/Medicare Experience: Experience working with the Medicaid/Medicare Population.
• EPSDT Experience: Experience with EPSDT.
• Communication Skills: Proven solid written and verbal communication skills.

Cultural and Environmental Fit

At UnitedHealth Group, we value diversity and inclusion. We're committed to creating a healthier atmosphere where everyone has the opportunity to live their healthiest life. We believe that diversity creates a healthier atmosphere, and we're an Equal Employment Opportunity/Affirmative Action employer.

What We Offer

• Competitive Salary: A competitive salary for this role.
• Remote Work: The flexibility to work from anywhere.
• Career Growth: Opportunities for career growth and development.
• Learning Benefits: Access to training and development programs.
• Recognition: Rewards and recognition for outstanding performance.

Work Environment and Culture

Our company culture is built on the principles of diversity, equity, and inclusion. We strive to create a work environment that's engaging, challenging, and supportive. Our employees are our greatest asset, and we're committed to providing a workplace where everyone can thrive.

Compensation and Benefits

We offer a comprehensive compensation package that includes a competitive salary, benefits, and perks. Our benefits package includes:

• Medical, Dental, and Vision Insurance: Comprehensive health insurance coverage.
• Retirement Savings: A 401(k) plan with company match.
• Paid Time Off: Generous paid time off policy.
• Flexible Work Arrangements: Flexible work arrangements, including remote work options.

How to Apply

If you're a motivated and dedicated professional looking to make a difference in the lives of millions of people, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to:

Apply Now

Conclusion

We're excited to welcome a new team member to our UnitedHealthcare family! As an EPSDT Coordinator, you'll have the opportunity to make a positive impact on the lives of millions of people. If you're passionate about healthcare and committed to excellence, we encourage you to apply for this rewarding role.

Apply Now