Care Coordinator Onsite (Hybrid Rn/Pt/Ot/St) Columbus, In

Optum

5+ years

$34.23 – $61.15 Per hours

Columbus,

10 July 25, 2025

Job Description

Job Type: Hybrid Education: B.Sc./M.Sc/B.Pharm/M.Pharm/Life Science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Care Coordinator – Onsite/Hybrid (RN/PT/OT/ST) | Columbus, IN

Company: Optum Home & Community Care (naviHealth), part of UnitedHealth Group
Category: Medical & Clinical Operations (Post‑Acute / Transitions of Care)
Primary Location: Columbus, IN (onsite within a 30‑mile radius of home)
Work Mode: Hybrid / Onsite
Schedule: Full‑time, Monday–Friday (day shift)
Compensation / Salary: $34.23 – $61.15 per hour (based on experience, market, education, certifications; full-time employment)

Job Summary

Optum Home & Community Care (naviHealth) is hiring a Care Coordinator (RN/PT/OT/ST licensed clinician) to drive post‑acute care (PAC) transitions, SNF concurrent reviews, discharge planning, and utilization management for geriatric and complex patients. You will complete weekly functional assessments, collaborate with interdisciplinary care teams (IDTs), apply CMS criteria, and remove barriers to ensure timely, high‑quality, and cost‑effective patient recovery—from hospital to SNF to home.

Key Responsibilities

Serve as the primary link between patients, families/caregivers, and the interdisciplinary team to ensure smooth, timely transitions of care.
Perform Skilled Nursing Facility (SNF) assessments on admission and throughout the stay using CMS criteria.
Conduct SNF concurrent reviews; update authorizations on time and escalate to physician reviewers as needed (NOMNC issuance, peer‑to‑peer).
Review target outcomes, LOS, and discharge plans with providers, patients, and families.
Coordinate referrals to Health Plan, High‑Risk Case Management, and community resources.
Participate in weekly SNF rounds; present accurate, up‑to‑date case information to leadership/medical directors.
Identify and resolve barriers to discharge and care progression; track and report readmissions and outcomes.
Enter timely, accurate documentation in care coordination platforms; review daily census to manage caseload and support teammates.
Stay current on CMS, UM/utilization management, and care coordination policies, including contract‑specific requirements.
Maintain HIPAA compliance and confidentiality of PHI at all times.
Support new delegated contract start‑ups and cross‑cover multiple contracts/clients as needed.

Required Skills & Qualifications

Active, unrestricted clinical license in state of hire: Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), or Speech Language Pathologist (ST/SLP).
5+ years of clinical experience (acute, post‑acute, rehab, home health, LTC, or similar).
Must reside within/near Columbus, IN and be able to support onsite facility needs within a 30‑mile radius.
Valid Driver’s License and reliable transportation.
Strong care coordination, discharge planning, utilization/resource management understanding.
Proficient with Microsoft Office (Outlook, Excel, PowerPoint) and care coordination tools.
Excellent communication, problem‑solving, conflict resolution, and time‑management skills.

Preferred Qualifications

Experience in patient education, rehabilitation, home health nursing, or geriatric care.
Familiarity with CMS/Medicare guidelines, health plan benefits, UM processes, and disease management programs.
Proven ability to analyze dashboards/readmission reports and contribute to performance improvement.

Perks & Benefits

Hourly pay: $34.23 – $61.15 (based on eligibility factors).
Comprehensive medical, dental, vision coverage.
Incentive & recognition programs.
Equity stock purchase plan & 401(k) contribution.
Extensive career development within Optum & UnitedHealth Group.
Mission‑driven, diversity & inclusion‑focused culture.

Company Description

Optum Home & Community Care (naviHealth), part of UnitedHealth Group, delivers an integrated, technology‑enabled care model that coordinates hospital‑to‑home transitions, optimizes post‑acute care, and improves outcomes for seniors and complex populations. With a national footprint and advanced analytics, Optum empowers clinicians to provide efficient, value‑based, person‑centered care.

Work Mode: Hybrid / Onsite – Columbus, IN (up to ~85% local travel to sites)

Call-to-Action

If you’re a licensed RN/PT/OT/ST with 5+ years of clinical experience and a passion for post‑acute care, utilization management, and patient advocacy, apply now to join Optum naviHealth and transform care transitions for seniors in Columbus, IN.

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Care Coordinator Onsite (Hybrid Rn/Pt/Ot/St) Columbus, In

Job Description

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