[Hiring] RN Clinical Coordinator @UnitedHealth Group

Role Description

As part of a care management team who will manage complex members, the HSS Clinical Coordinator RN will be the primary care manager for a panel of members with complex health needs (i.e., developmental, mental health or substance use disorders). Additionally, this position will provide behavioral health support to the broader team. 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 are located within the New Jersey territory and willing to travel up to 10% of your time to assigned territory, you will have the flexibility to work remotely as you take on some tough challenges.

• Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs
• Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs
• Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person’s readiness to change to support the best health and quality of life outcomes by meeting the member where they are
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Provide referral and linkage as appropriate and accepted by member (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)

Qualifications

• Current, unrestricted RN license in New Jersey
• 2+ years of RN experience in a hospital setting, acute care, direct care experience and/or experience as a Case Manager
• 1+ years of paid professional experience working directly with the elderly or physically disabled in an institutional or community setting
• 1+ years of experience in long-term care, home health, hospice, public health or assisted living
• Proven ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word and Excel
• Demonstrated ability to talk and type proficiently at the same time

Requirements

• Bachelor's degree or greater
• Certified Case Manager (CCM)
• Experience with working with DSNP
• Experience working with populations with special needs
• Experience/exposure with discharge planning
• Experience in utilization review, concurrent review and/or risk management
• Experience with government health programs (Medicaid / Medicare)
• Case Management experience
• Background in managed care
• Proven Bilingual - English/Spanish
• Proven solid organizational skills and multitasking abilities

Physical Requirement

• Ability to remain stationary for long periods of time to complete computer or tablet work duties

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)
• Hourly pay for this role will range from $40 to $54 per hour based on full-time employment