Care Coordinator

2 weeks ago

Jacksonville, 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.

This position will be the primary care manager for a panel of members with primary complex medical needs. The Care Management / coordination activities will focus on supporting member‘s medical, behavioral and socioeconomic needs to promote appropriate utilization of services and improved quality of care. All case management/ coordination activities will be in alignment with evidence-based guidelines. This position will liaison with the members‘ provider community to help reduce fragmentation within the care ecosystem. The role will provide medically oriented clinical consults/guidance within the team and to other area within the health plan. The Clinical Care Manager will approach their member work with an understanding of how inequities drive health disparities. They will promote health equity.


If you live in Florida, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Serve as primary care manager for members with primary complex medical needs
  • Engage members through a variety of modalities (telephonically) to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, socioeconomic and SDOH 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, community resources/partners and leverage expertise to implement care plan
  • Monitor and update care plan, incorporating feedback from member to monitor compliance with interventions to achieve care plan goals
  • Provide education and coaching to support:
  • Member self-management of care needs in alignment with evidence-based guidelines
  • Lifestyle changes to promote health, i.e. smoking cessation, weight management, exercise
  • Assist member in development of personal wellness plan / health crisis plan
  • Perform targeted activities and provide education to support HEDIS/STAR gap closure, including scheduling, reminding and verification of appointment to receive specific services
  • Monitor compliance with medication regimen and make referrals to Pharmacist for medication review and recommendations
  • Reassess and update care plan with change in condition or care needs
  • Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
  • Access and Coordinate Medicaid Benefits to support care needs
  • Document all care management/coordination activity in clinical care management record

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:

  • Current, unrestricted, independent licensure as a Registered Nurse
  • 4+ years of relevant clinical work experience
  • 3+ years of experience managing needs of complex populations (eg. Medicare, Medicaid)
  • 3+ years of clinical pediatric experience
  • 1+ years of community case management experience coordinating care for individuals with complex needs
  • Reside in the state of Florida


Preferred Qualifications:

  • Bachelor‘s degree or greater
  • Certification in Case Management (CCM)
  • Experience with vulnerable subpopulations include children and youth with special health care needs, adults with serious mental illness, children with serious emotional disturbances, members with substance use disorders, children in foster care or adoption assistance, and members with other complex or multiple chronic conditions
  • Behavioral health experience
  • Bilingual experience - Spanish
  • Home care / field-based case management

*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.

  • Care Transition Coordinator

    4 weeks ago

    Jacksonville, Florida, United States Option Care Health Full time

    Care Transition Coordinator Job Description**Job Summary:**Option Care Health is seeking a highly skilled Care Transition Coordinator to join our team. As a Care Transition Coordinator, you will play a critical role in ensuring seamless patient transitions from hospital care to home or alternate treatment sites. You will be responsible for educating...

  • Home Care Scheduler Coordinator

    1 month ago

    Jacksonville, Florida, United States Diligent Home Health Care INC Full time

    Job OverviewWe are seeking a highly organized and detail-oriented Home Care Scheduler to join our team at Diligent Home Health Care INC. In this role, you will be responsible for coordinating internal and external staffing needs, assigning clients to the appropriate clinicians, and maintaining an up-to-date list of on-call and backup staff.Key...

  • Care Transition Coordinator

    4 weeks ago

    Jacksonville, Florida, United States Option Care Enterprises, Inc. Full time

    Care Transition Coordinator Job DescriptionJob Summary:The Care Transition Coordinator is a key member of our team, responsible for ensuring seamless transitions of patients from hospital care to alternative site care. This role requires a strong understanding of infusion services and the ability to communicate effectively with patients, families, and...

  • Care Coordinator

    2 weeks ago

    jacksonville, United States Angel Kids Pediatrics Full time

    As the largest pediatric practice in Jacksonville, serving seven locations with over 30,000 patients, Angel Kids Pediatrics believes that caring for children is a continual process, and should not be limited to just doctor office visits during regular business hours. We believe that by providing excellent medical care in a family and community-based...

  • Care Coordinator

    2 weeks ago

    Jacksonville, United States Angel Kids Pediatrics Full time

    As the largest pediatric practice in Jacksonville, serving seven locations with over 30,000 patients, Angel Kids Pediatrics believes that caring for children is a continual process, and should not be limited to just doctor office visits during regular business hours. We believe that by providing excellent medical care in a family and community-based...

  • Care Coordinator

    2 weeks ago

    Jacksonville, United States Angel Kids Pediatrics Full time

    As the largest pediatric practice in Jacksonville, serving seven locations with over 30,000 patients, Angel Kids Pediatrics believes that caring for children is a continual process, and should not be limited to just doctor office visits during regular business hours. We believe that by providing excellent medical care in a family and community-based...

  • Care Coordinator

    3 weeks ago

    Jacksonville, United States Angel Kids Pediatrics Full time

    As the largest pediatric practice in Jacksonville, serving seven locations with over 30,000 patients, Angel Kids Pediatrics believes that caring for children is a continual process, and should not be limited to just doctor office visits during regular business hours. We believe that by providing excellent medical care in a family and community-based...

  • Care Coordinator

    2 weeks ago

    jacksonville, United States Angel Kids Pediatrics Full time

    As the largest pediatric practice in Jacksonville, serving seven locations with over 30,000 patients, Angel Kids Pediatrics believes that caring for children is a continual process, and should not be limited to just doctor office visits during regular business hours. We believe that by providing excellent medical care in a family and community-based...

  • Care Coordinator

    2 weeks ago

    Jacksonville, United States Angel Kids Pediatrics Full time

    As the largest pediatric practice in Jacksonville, serving seven locations with over 30,000 patients, Angel Kids Pediatrics believes that caring for children is a continual process, and should not be limited to just doctor office visits during regular business hours. We believe that by providing excellent medical care in a family and community-based...

  • Nurse Care Coordinator

    1 month ago

    Jacksonville, Florida, United States Ascension Full time

    Job SummaryWe are seeking a skilled Registered Nurse to join our Observation Unit team at Ascension St. Vincent's Riverside Hospital in Jacksonville, FL. As a Nurse Care Coordinator, you will provide direct nursing care to patients and implement and monitor patient care plans in accordance with established policies and procedures.ResponsibilitiesProvide...

  • Care Management Coordinator

    4 weeks ago

    Jacksonville, Florida, United States Mayo Clinic Full time

    About the RoleThe Care Management Assistant serves as a key member of the Care Management team, providing coordination of Care Management services and functions that support our patients. This role interacts with patients, family members, and visitors, providing administrative support to Care Management RNs and SWs through tasks that impact care coordination...

  • Care Transition Coordinator

    4 weeks ago

    Jacksonville, Florida, United States Option Care Enterprises, Inc. Full time

    Job Description Summary:The Care Transition Coordinator is a skilled sales professional responsible for promoting Option Care Health's infusion services to patients discharging from hospital care. They educate patients, their families, and facility staff about the benefits of alternative site care, ensuring seamless transitions to home or ambulatory infusion...

  • Patient Care Coordinator

    4 weeks ago

    Jacksonville, Florida, United States gpac Full time

    Job DescriptionWe are a leading Home Healthcare Agency dedicated to delivering exceptional care and services. With a strong patient satisfaction track record and over two decades of experience, we provide top-quality Home Healthcare services in various areas. Our commitment is to ensure that patients receive the care they need comfortably, supported by our...

  • Nurse Care Coordinator

    4 weeks ago

    Jacksonville, Florida, United States Mayo Clinic Full time

    About the RoleMayo Clinic is seeking a skilled Registered Nurse to join our team. As a Registered Nurse, you will be responsible for coordinating patient care, providing direct patient care, and educating patients and their families.ResponsibilitiesCoordinate patient care, including direct patient care and patient/family educationSupport professional nursing...

  • Nurse Care Coordinator

    4 weeks ago

    Jacksonville, Florida, United States Mayo Clinic Full time

    About the Role:As a Registered Nurse at Mayo Clinic, you will play a vital role in delivering exceptional patient care and contributing to a collaborative healthcare team. Your primary responsibility will be to coordinate nursing care, including direct patient care, patient/family education, and transitions of care.Key Responsibilities:Coordinate nursing...

  • Nurse Care Coordinator

    4 weeks ago

    Jacksonville, Florida, United States Mayo Clinic Full time

    About the RoleAs a Registered Nurse at Mayo Clinic, you will play a vital part in delivering exceptional patient care. You will be responsible for coordinating nursing care, including direct patient care, patient/family education, and transitions of care. This role requires a strong commitment to teamwork and collaboration, as well as excellent communication...

  • Nurse Care Coordinator

    4 weeks ago

    Jacksonville, Florida, United States Mayo Clinic Full time

    About the RoleThe Registered Nurse (RN) is a vital member of our healthcare team, responsible for delivering high-quality patient care and coordination. With a strong focus on teamwork and collaboration, this role requires excellent communication and leadership skills.Key ResponsibilitiesCoordinate patient care, including direct patient care, patient/family...

  • Nurse Care Coordinator

    1 month ago

    Jacksonville, Florida, United States Mayo Clinic Full time

    About the RoleMayo Clinic is seeking a skilled Registered Nurse to join our team. As a Registered Nurse, you will be responsible for coordinating patient care, providing education, and ensuring seamless transitions of care.ResponsibilitiesCoordinate nursing care, including direct patient care and patient/family educationSupport professional nursing practice...

  • Nurse Care Coordinator

    4 weeks ago

    Jacksonville, Florida, United States Mayo Clinic Full time

    About the Role:The Registered Nurse at Mayo Clinic is a key member of our healthcare team, responsible for coordinating patient care and providing direct patient care, patient/family education, and transitions of care.Responsibilities:Coordinate nursing care, including direct patient care, patient/family education, and transitions of care.Support...

  • LPN Care Coordinator

    2 weeks ago

    Jacksonville, United States Wellbox Full time $20

    Description Wellbox is a rapidly growing healthcare company focused on empowering people to live healthier lives through comprehensive preventative care solutions delivered by an elite team of experienced nurses. We are currently seeking tech-savvy LPN Patient Care Coordinators to conduct monthly telephonic outreach to chronically ill patients, developing...