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HSS Clinical Coordinator RN

2 months ago

Warren, United States UnitedHealth Group Full time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

You push yourself to reach higher and go further. Because for you, it's all about ensuring a positive outcome for patients. In this role, you'll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you'll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.

As a Field-Based Community Case Manager, you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting members with safe, effective transitions from care environments to where they live. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for us all. Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve.

If you are located within Youngstown, OH, Columbiana, Trumbull and Mahoning counties you will have the flexibility to work remotely* as you take on some tough challenges. Field based, remote (telecommute) from home when not in the field.

Primary Responsibilities:

  • Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care

  • Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services

  • Manage the care plan throughout the continuum of care as a single point of contact

  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members

  • Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team

  • Expect to spend about 50% of your time in the field visiting our members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and above all, patient in all types of situations

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Unrestricted RN license in the state of Ohio

  • 3+ years of experience working within the community health setting or in a health care role

  • Experience in hospital, long-term care, home health, hospice, public health or assisted living

  • Experience working with MS Word and Outlook

  • Ability to travel up to 50% in assigned region (50-mile radius- one way) to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices

  • Reside in the Youngstown, OH area

  • Reliable transportation to travel to member homes or other locations within service delivery area

Preferred Qualifications:

  • Case Management experience including Certification in Case Management

  • Home care/field-based case management

  • Medicaid, Medicare, Managed Care experience

  • Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs

  • Experience in Home & Community based or Long-Term Care services delivery

  • Proven problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action

  • Proven ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

  • Bilingual in Spanish/English

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.