• Work with stakeholders to understand business needs and design technical solutions that will meet quality needs for security, scalability, reliability, usability, and accessibility. • Collaborate with team to develop, test, and implement technical solutions using configurations and customizations in enterprise software systems in an agile development process. • Follow development standards for solution design, development, testing, implementation, and documentation and work with team to continually refine and improve those standards. • Perform testing for solutions to ensure releases meet standards for efficiency, quality, security, and reliability. • Provide maintenance and technical support for enterprise applications in accordance with organizational standards and service-level agreements. • Keep up with industry trends and learn new technologies as needed to meet company needs.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description In this RN Nurse Care Coordinator role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, ensuring they have the right services to meet their needs. Our team is made up of RNs, LVNs, and CACs dedicated to helping members achieve their health care goals. We work closely with the nursing facilities in which our members reside. If you are in or within a 60 mile radius driving distance from Dallas County, TX to support the following zip code areas 75216, 75237, 75211, 75062, 75061, 75038 and can travel locally, you will have the flexibility to work remotely as you take on some tough challenges. Travel required in local areas about 75% of the time based on business needs. This is a field-based position with a home-based office. Primary Responsibilities: - Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, least restrictive level of care. - Identify and initiate referrals for member transition to community request and provide assistance with social service programs, including financial, psychosocial, community, and state supportive services. - Manage the care plan throughout the continuum of care as a single point of contact. - Communicate with all stakeholders for the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members. - Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team. - Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices. Qualifications - Current, unrestricted RN license in the state of Texas. - 2+ years of experience working within the community health setting or in a health care role. - Intermediate level of computer proficiency (including Microsoft Outlook, Teams) and ability to use multiple web applications. - Valid driver’s license, reliable transportation and the ability to travel up to 75% in this ‘assigned region’ to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices. - Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI). - Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. - Reside in or within a 60 mile commutable driving distance from Dallas County, TX. Preferred Qualifications - 1+ years of experience with long term care services and support, Medicaid or Medicare. - Ability to create, edit, save and send documents, spreadsheets and emails. - Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations. - Reside within one of the following zip codes: 75216, 75237, 75211, 75062, 75061, 75038. Benefits - 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.).

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Application Administrators work with a technology solution team to design, develop, test, implement, and support software solutions through configuring and customizing enterprise software applications. - Work with stakeholders to understand business needs and design technical solutions that will meet quality needs for security, scalability, reliability, usability, and accessibility. - Collaborate with team to develop, test, and implement technical solutions using configurations and customizations in enterprise software systems in an agile development process. - Follow development standards for solution design, development, testing, implementation, and documentation and work with team to continually refine and improve those standards. - Perform testing for solutions to ensure releases meet standards for efficiency, quality, security, and reliability. - Provide maintenance and technical support for enterprise applications in accordance with organizational standards and service-level agreements. - Keep up with industry trends and learn new technologies as needed to meet company needs. Qualifications - Bachelor’s degree in IT discipline or equivalent work experience. - 2+ years of experience in designing technical solutions and administration of enterprise applications or a similar role. - Flexibility and ability to adapt to changing conditions. - Strong attention to detail. - Ability to work well independently and as part of a team. - Excellent written, verbal, and interpersonal communications skills. - Ability to multitask and prioritize in a dynamic environment. - Ability to “think outside the box” to develop innovative solutions and ways of working. - Strong troubleshooting and analytical skills. Requirements - Microsoft Power Platform Fundamentals certification - Microsoft Power Platform Developer Associate certification - Microsoft Power Platform Functional Consultant Associate certification - Proven experience with the following: - Microsoft Power Platform tools (Power Automate, Power Apps, Power Pages, Dataverse, Power BI) - Microsoft Power Platform administration - Microsoft SharePoint administration - SQL and MS SQL Server Management Studio - Software development lifecycle and DevOps CI/CD - Agile software development frameworks (Kanban, Scrum) - Microsoft Dynamics 365 Finance and Operations / X++ - Microsoft Entra ID - HTML, CSS, and JavaScript - Liquid template - PowerShell and Azure CLI - Azure cloud / services Benefits - Medical, Dental, Vision, and Life Insurance - Flexible Spending Accounts (Medical and Dependent Care) - 401(k) Plan with Company Match - Generous Paid Time Off - 10.5 Paid Holidays - Career Development Opportunities

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This position is responsible for facilitating the review of service plans and service authorization requests to ensure that individuals are receiving the most appropriate services at a given time. - Review of Service Plans and Authorization Requests to ensure that all required documents are submitted - Approve requests based on an algorithm for “auto approval” of the plan and authorization requests - Refer plan and authorization requests that cannot be “auto approved” to Licensed Utilization Management Reviewer for medical necessity review - Administratively deny incomplete requests - Onboarding/training/mentoring of new staff as requested by leadership - Other duties as needed to support the Supervisor, Manager, and Director Qualifications - Comprehensive knowledge of mental illness and diagnostic categories - Knowledge of the assessment and treatment of developmental disabilities, with or without co-occurring mental illness - Knowledge of the 1915 (b) (c) waiver - Knowledge of psychiatric medications and side effects - Knowledge of evidence-based practices - Knowledge of appropriate treatments for major diagnostic categories - Exceptional interpersonal skills and highly effective communication ability - Problem solving, negotiation, and conflict resolution skills - Awareness of cultural diversity - Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc) - Detail oriented, able to independently organize multiple tasks and priorities Requirements - A Bachelor’s Degree in a Human Services field - Two (2) years of post-degree I/DD experience Benefits - Annual incentive bonus plan - Medical, dental, and vision insurance with low deductible/low cost health plan - Generous vacation and sick time accrual - 12 paid holidays - State Retirement (pension plan) - 401(k) Plan with employer match - Company paid life and disability insurance - Wellness Programs - Public Service Loan Forgiveness Qualifying Employer