Care Coordinator – Onsite (Hybrid/RN/PT/OT/ST) – Mayfield, KY
Location: Mayfield, Kentucky, USA (Hybrid Onsite Role)
Job Category: Medical & Clinical Operations
Requisition Number: 2302058
Estimated Hourly Pay: $34.23 – $61.15 (based on experience and qualifications)
About the Role:
Join Optum Home & Community Care, part of UnitedHealth Group, as a Care Coordinator – Onsite to drive seamless transitions of care and improved outcomes for patients navigating post-acute settings. In this hybrid role based in Mayfield, KY, you’ll provide hands-on care coordination and assessments in Skilled Nursing Facilities (SNFs), serving as the critical link between patients, providers, and discharge planning teams.
Primary Responsibilities:
Conduct weekly SNF assessments using CMS criteria and clinical judgment.
Participate in interdisciplinary rounds and facilitate care conferences with patients and families.
Ensure timely discharge planning, care transition coordination, and goal tracking.
Collaborate with SNF providers, physicians, discharge planners, and rehab staff to remove discharge barriers.
Complete concurrent reviews and authorizations, manage referrals, and escalate cases to Medical Directors as needed.
Document all case activities and maintain HIPAA-compliant practices.
Support delegated contract start-up and cross-functional team coverage as needed.
Review analytics and dashboards to identify gaps and contribute to performance improvement.
Engage in weekly team meetings, continuing education, and adherence to care coordination policies.
Required Qualifications:
Active, unrestricted license in Kentucky as either:
Registered Nurse (RN)
Physical Therapist (PT)
Occupational Therapist (OT)
Speech-Language Pathologist (ST)
Minimum 5 years of clinical experience
Must reside within or near Mayfield, KY
Willingness to travel within 30 miles for onsite SNF coverage
Valid driver’s license and access to reliable transportation
Preferred Qualifications:
Experience with the geriatric population
Knowledge of care/utilization/resource management, home health, or rehab care
Experience with patient education and discharge coordination
Strong verbal/written communication, teamwork, and problem-solving skills
Familiarity with Microsoft Office Suite (Outlook, Excel, PowerPoint)
Work Conditions:
Requires home office setup for hybrid flexibility
Onsite work in SNFs up to 85% of the time
Ability to remain seated or mobile for extended periods
Frequent laptop and phone communication
Why Join H&C Transitions (Optum)?
As a part of the UnitedHealth Group family, you'll help older adults live fuller lives at home, leading transitions from hospital to SNF and beyond. This is your opportunity to create meaningful impact while enjoying strong benefits and growth opportunities.
Benefits Include:
Comprehensive medical, dental, and vision coverage
401(k) with company contribution and stock purchase options
PTO plus 8 paid holidays
Education reimbursement
Employee discount programs
Incentive bonuses and recognition plans
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Duluth | Eden Prairie | Fridley | Hibbing | Maple Grove | Minneapolis and St. Paul, Minnesota. | Minnetonka | St.Paul |Missouri :
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China | Quarry Bay |Hubei :
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Hangzhou |Melbourne :
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Queensland |Remote Australia :
Arkansas | Remote Australia |Republic of Western Australia :
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Netherlands |Noord Holland :
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Brussels |Flemish Brabant :
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Sofia |Canada :
Canada |Ontario :
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Montreal |Chile :
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North Ostrobothnia :
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Remote Korea |Republic of Korea :
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Madrid |Sweden :
Sweden |Taipei :
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