EPSDT Coordinator - Remote in New Mexico - Early Preventative Screening Diagnostic Testing Program

Join the UnitedHealthcare Team as an EPSDT Coordinator - Remote in New Mexico Enjoy the flexibility of a remote role while making a meaningful impact on the lives of millions of people! At UnitedHealthcare, we're dedicated to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. We're seeking a highly skilled and dedicated EPSDT Coordinator to join our team remotely in New Mexico. As an EPSDT Coordinator, you will play a vital role in facilitating, implementing, and coordinating the EPSDT Member Outreach Program and ensuring compliance with immunization and EPSDT examinations. About UnitedHealthcare At UnitedHealthcare, we're passionate about 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 mitigate our impact on the environment and enable and deliver equitable care that addresses health disparities and improves health outcomes. We're committed to creating a diverse and inclusive work environment that values and respects all employees. 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 offers a competitive salary package commensurate with experience and the flexibility to work remotely from New Mexico. Key Responsibilities Identify and facilitate assistance for member needs specific to maternal/child health and EPSDT: Collaborate with healthcare providers and members to identify and address gaps in care, and provide educational resources to support healthy outcomes. Create and present quarterly executive summaries on performance data: Analyze and present data on EPSDT performance metrics, including CMS Form 416 EPSDT reports, to stakeholders and leadership. Provide culturally competent educational resources: Develop and deliver educational resources to healthcare providers and staff on EPSDT and related Population Health initiatives. Educate healthcare providers: Provide education and support to healthcare providers on clinical measures and EPSDT requirements, both in-person and through electronic communication channels. Maintain policies and procedures: Develop, update, and maintain policies and procedures related to EPSDT, as well as work plans and performance metrics. Participate in Performance Improvement Projects: Collaborate with cross-functional teams on performance improvement projects and campaigns to drive quality improvement and compliance. Requirements Essential Qualifications 3+ years of clinical experience: A minimum of 3 years of clinical experience in a healthcare setting, with a focus on maternal/child health and pediatric care. 2+ years of experience within the child and pediatric population: Experience working with children and pediatric populations, including well-child visits and EPSDT screenings. 1+ year of experience with MS Office: Proficiency in Microsoft Office, including Word, Excel, and Outlook. Experience presenting to others: Ability to effectively communicate and present data to stakeholders and leadership. Proven ability to create spreadsheets in Excel: Skilled in creating and managing spreadsheets to track and analyze data. Willing or ability to travel locally up to 25% of the time: Ability to travel locally to meet with members and providers, as needed. Reliable transportation and ability to travel: Reliable transportation and ability to travel to meet with members and providers. Currently reside in New Mexico: Must currently reside in New Mexico to work remotely. Preferred Qualifications BSN: Bachelor's degree in Nursing or related field. Current, unrestricted Registered Nurse (RN) licensure: Current, unrestricted RN licensure in the state of New Mexico or a compact license allowing practice in New Mexico. Pediatric nursing experience: Experience working in pediatric nursing, including well-child visits and EPSDT screenings. Experience with wellness quality metrics: Experience working with wellness quality metrics related to childhood health screenings. Experience working with provider offices: Experience working with healthcare providers and their offices to improve compliance with screenings and EPSDT requirements. Clinical nursing experience in managed care environment: Experience working in a managed care environment, including experience with Medicaid/Medicare populations. Experience working with EPSDT: Experience working with EPSDT programs, including knowledge of state and federal requirements. Proven comfort with reading and writing reports: Ability to read and write reports, analyze data, and communicate findings to stakeholders. Skills and Competencies To succeed in this role, you will need: Excellent communication and interpersonal skills: Ability to effectively communicate with healthcare providers, members, and stakeholders. Strong analytical and problem-solving skills: Ability to analyze data, identify gaps in care, and develop solutions to improve compliance with EPSDT requirements. Cultural competence: Ability to work with diverse populations and provide culturally competent care. Strong organizational and time management skills: Ability to prioritize tasks, manage multiple projects, and meet deadlines. Career Growth Opportunities and Learning Benefits At UnitedHealthcare, we're committed to helping our employees grow and develop their careers. As an EPSDT Coordinator, you will have opportunities to: Develop your skills and knowledge: Participate in training and development programs to enhance your skills and knowledge in EPSDT and related areas. Advance your career: Opportunities for career advancement and growth within the organization. Collaborate with cross-functional teams: Work with teams across the organization to drive quality improvement and compliance. Work Environment and Company Culture At UnitedHealthcare, we're committed to creating a diverse and inclusive work environment that values and respects all employees. Our company culture is built on: Diversity and inclusion: We value and celebrate diversity in all its forms and strive to create an inclusive work environment. Collaboration and teamwork: We believe in the power of collaboration and teamwork to drive success. Integrity and ethics: We operate with integrity and ethics, always. Compensation, Perks, and Benefits We offer a competitive salary package commensurate with experience, as well as: Comprehensive benefits package: Medical, dental, and vision benefits, as well as 401(k) and other benefits. Flexible work arrangements: Opportunities for remote work and flexible scheduling. Professional development opportunities: Training and development programs to enhance your skills and knowledge. Conclusion If you're a motivated and dedicated healthcare professional looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity as an EPSDT Coordinator - Remote in New Mexico. Join our team and make a meaningful impact on the lives of millions of people! Apply To This Job Apply for this job