[Hiring] RN Clinical Care Coordinator @UnitedHealth Group

Role Description

The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting member’s medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.

If you reside within Bristol County, MA and surrounding areas, you will have the flexibility to work remotely as you take on some tough challenges. This position is a field-based position with a home-based office. You will work from home when not in the field. Local travel up to 75% and mileage is reimbursed at current government rate.

Primary Responsibilities:

• Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs.
• Develop and implement person-centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management, and member safety in alignment with evidence-based guidelines.
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan.
• Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health.
• Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission.
• 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.

Qualifications

• High School Diploma/GED
• Current and unrestricted independent licensure as a Registered Nurse for MA
• 2+ years of clinical experience
• Intermediate level of proficiency with MS Office, including Word, Excel, and Outlook
• 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
• Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers
• Valid US driver’s license

Requirements

• Bachelor’s or Master’s Degree in Nursing (Preferred)
• Certified Care Manager (CCM) (Preferred)
• 1+ years of community case management experience coordinating care for individuals with complex needs (Preferred)
• Background in Managed Care (Preferred)
• Experience working in team-based care (Preferred)
• Ability to utilize an Electronic Medical Record or other electronic platforms (Preferred)
• Ability to use online training platforms (Preferred)
• Demonstrated ability to utilize virtual care platforms (Preferred)

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.)