Current jobs related to RN Clinical Tribal Coordinator - Phoenix - UnitedHealthcare
-
Tribal Healthcare Operations Consultant
3 weeks ago
Phoenix, Arizona, United States Blue Stone Strategy Partners Full timeJob OverviewREPORTS TO: Director of Tribal Healthcare ServicesLOCATION: RemoteFLSA STATUS: ExemptCompensation: Minimum base salary of $74,059; includes business development incentives. Compensation above the minimum salary will be determined by experience.Status: Full-TimePosition SummaryThe Tribal Healthcare Operations Consultant is primarily responsible...
-
Clinic RN
2 weeks ago
Phoenix, United States Providence RN Full timeDescription The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, spiritual needs, and appropriate care strategies throughout the lifespan. This position facilitates care coordination by using the nursing process to assess, identify, plan, implement, and evaluate all...
-
Clinic RN
2 weeks ago
Phoenix, United States Providence RN Full timeDescription The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, spiritual needs, and appropriate care strategies throughout the lifespan. This position facilitates care coordination by using the nursing process to assess, identify, plan, implement, and evaluate all...
-
Clinical Research Coordinator II
3 weeks ago
Phoenix, United States DM Clinical Research Full timeJob DescriptionJob DescriptionClinic Research Coordinator II The Clinical Research Coordinator II, will ensure that quality research is conducted at the assigned investigative sites in accordance with the sponsor protocol, FDA Regulations, and ICH/GCP guidelines and to provide the best quality data to the sponsor. The CRC I will also ensure study...
-
Clinic RN
2 weeks ago
Phoenix, United States Providence RN Full timeDescription The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, spiritual needs, and appropriate care strategies throughout the lifespan. This position facilitates care coordination by using the nursing process to assess, identify, plan, implement, and evaluate all...
-
Clinic RN
2 weeks ago
Phoenix, United States Providence RN Full timeDescription The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, spiritual needs, and appropriate care strategies throughout the lifespan. This position facilitates care coordination by using the nursing process to assess, identify, plan, implement, and evaluate all...
-
RN Clinical Coordinator
3 months ago
Phoenix, United States Unavailable Full timeOverview Hello humankindness Located conveniently in the heart of Phoenix ArizonaSt. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range of health social and support services. Founded in 1895 by the Sisters of Mercy St. Josephs was the first hospital in the Phoenix area. More than 125 years later St. Josephs...
-
RN Cardiac Clinical Coordinator
1 week ago
Phoenix, Arizona, United States Abrazo Arizona Heart Hospital Full timeJob SummaryAbrazo Arizona Heart Hospital is seeking a highly skilled RN Cardiac Clinical Coordinator to join our team. As a key member of our cardiac services department, you will be responsible for coordinating functions and activities related to a single departmental function.Key Responsibilities:Coordinate the scheduling efforts of the unit RN'sAct as...
-
RN MedSurg Clinical Coordinator FT
4 days ago
Phoenix, Arizona, United States Abrazo Scottsdale Campus Full timeAbrazo Scottsdale Campus: RN MedSurg Clinical Coordinator FTWelcome to Abrazo Health Network, where making a real difference in people's lives is at the heart of everything we do. Our team is dedicated to providing exceptional patient care and creating a supportive environment for our healthcare professionals.Job SummaryWe are seeking a highly skilled RN...
-
Phoenix, Arizona, United States Abrazo Scottsdale Campus Full timeAbrazo Scottsdale Campus RN MedSurg Clinical Coordinator FT Job SummaryAs a RN MedSurg Clinical Coordinator FT at Abrazo Scottsdale Campus, you will play a vital role in coordinating functions and activities related to a single departmental function. This position is responsible for a clinic unit and coordinates the scheduling efforts of the unit RN's. You...
-
RN MedSurg Clinical Coordinator FT
3 days ago
Phoenix, Arizona, United States Abrazo Scottsdale Campus Full timeAbout Abrazo Scottsdale CampusWelcome to Abrazo Scottsdale Campus, where we're dedicated to delivering exceptional patient care and fostering a collaborative work environment. Our team is passionate about making a meaningful difference in the lives of our patients and their families.Job SummaryWe're seeking a highly skilled RN MedSurg Clinical Coordinator to...
-
Clinical Transplant Coordinator
4 days ago
Phoenix, Arizona, United States HexaQuEST Health, Inc. Full timeJob Title: Clinical Transplant CoordinatorWe are seeking a highly skilled and experienced Clinical Transplant Coordinator to join our team at HexaQuEST Health, Inc.Job Summary:The successful candidate will be responsible for coordinating care for transplant candidates and recipients, working closely with a multidisciplinary team to ensure continuity of...
-
RN Cardiac Clinical Coordinator
3 days ago
Phoenix, Arizona, United States Abrazo Arizona Heart Hospital Full timeAbout the RoleWe are seeking a highly skilled and experienced RN Cardiac Clinical Coordinator to join our team at Abrazo Arizona Heart Hospital. As a key member of our cardiac services team, you will play a vital role in ensuring the delivery of high-quality patient care.Key ResponsibilitiesCoordinate functions and activities related to a single departmental...
-
Clinical Transplant Coordinator
2 days ago
Phoenix, Arizona, United States HexaQuEST Health, Inc. Full timeJob SummaryThe Clinical Transplant Coordinator plays a vital role in the transplant multidisciplinary team, ensuring continuity of care for transplant candidates, recipients, and their families throughout all phases of care. This position requires a Registered Nurse with strong leadership experience and a passion for delivering exceptional patient...
-
RN Cardiac Clinical Coordinator
1 hour ago
Phoenix, Arizona, United States Abrazo Arizona Heart Hospital Full timeAbout the RoleWe are seeking a highly skilled and experienced RN Cardiac Clinical Coordinator to join our team at Abrazo Arizona Heart Hospital. As a key member of our cardiac services team, you will play a vital role in ensuring the delivery of high-quality patient care.Key ResponsibilitiesCoordinate functions and activities related to a single departmental...
-
Travel Nurse RN Clinical Coordinator
5 days ago
Phoenix, Arizona, United States PHP Full timeJob SummaryPHP is seeking a skilled Travel Nurse RN Clinical Coordinator to join their team in Acute Care Case Management.Key ResponsibilitiesProvide clinical coordination and support for acute care case managementCollaborate with healthcare professionals to ensure high-quality patient careDevelop and implement effective case management plansMonitor patient...
-
Travel Nurse RN Clinical Coordinator
6 days ago
Phoenix, Arizona, United States PHP Full timeJob SummaryPHP is seeking a skilled Travel Nurse RN Clinical Coordinator to join their team in Acute Care Case Management.Key ResponsibilitiesProvide clinical coordination and support for acute care case managementCollaborate with healthcare professionals to ensure high-quality patient careDevelop and implement effective care plans to meet patient...
-
Care Coordinator/Case Manager
3 weeks ago
Phoenix, United States Intermountain Centers Full timePhoenix, AZ, USA Req #2088 Monday, May 13, 2024 Looking to build a lasting career? Join a team that is inclusive and embraces all individuals. Intermountain Centers is one of the largest statewide behavioral health and integrated care organizations in Arizona. What does building a lasting career look like? Exceptional health, dental, and disability...
-
Clinical Operations Coordinator
3 weeks ago
Phoenix, Arizona, United States Passport Health Full timeJob OverviewPosition: RN Scheduling CoordinatorCompany Overview:Passport Health stands as the foremost provider of travel medicine and immunization services across North America. With over 300 clinic locations, we are dedicated to delivering exceptional medical care through our highly trained staff. Our extensive vaccine inventory and clinic network ensure...
-
RN - Clinical Decision Unit - Days
3 weeks ago
Phoenix, United States Providence RN Full timeDescription $12,000 hiring bonus for eligible external hires that meet required qualifications and conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Providence nurses are not simply valued – they’re invaluable. You will thrive in our culture of...
RN Clinical Tribal Coordinator
4 months ago
For more information about this role and others, please join us for a virtual hiring information session with Jean Kalbacher, Health Plan CEO and Francine Pechnik, Executive Director, our recruiters, benefit specialists and other health plan staff, to learn more about our organization, roles available and next steps.
The virtual event is Tuesday, June 4th, at 12:00pm AZ Time
To register for the event, please visit: https://uhg.hr/C&SArizonaInformationSession1
To view available roles and apply visit: https://uhg.hr/C&SArizonaOpenRoles
Roles available include Field Care Coordinator, Clinical Coordinator, Clinical Quality LPN, Clinical Quality RN, and other supporting roles.
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.
The Clinical Tribal RN Care Manager will be responsible for the care management and coordination of identified Tribal members. This position works directly with the member, provider(s), facilities, and other entities to ensure the most appropriate care is provided. The Care Manager manages members from all contracted lines of business.
The Care Manager assesses, plans, implements, coordinates, monitors, creates an individualized care plan meeting NCQA guidelines and evaluates the outcomes, ensuring options and services required to meet the member’s health needs are best utilized. The Care Manager provides advocacy, communication and resource management and promotes quality and cost-effective interventions and outcomes.
This position is a licensed RN in good standing within the state of AZ, a member or affiliate of a tribe, or experience working directly with IHS, Tribes, Tribal Organizations, Urban Indian Organizations (I/T/U) in a healthcare setting and located within the Phoenix area.
If you are located in Arizona, you will have the flexibility to work remotely* as you take on some tough challenges. Travel is required 60% of the time in Arizona.
Primary Responsibilities:
- Care Management allocation:
- Care Management responsibilities: 80%-time allocation which includes case consultations with a case load of 45-50
- Utilization of hotspotting tool and other internal resource tools that identify at risk AI members
- Community, relationship building, education: 20% (Interventions and efforts to be logged and tracked, reviewed with Manager, including objectives, goals, outcomes, changes)
- Understand the needs of the plan’s Tribal members and offer support in a culturally competent and respectful manner
- Be familiar with Tribal customs, laws, and health care needs
- Solicits feedback from the Tribal community for quality improvement purposes
- Builds strong collaborative relationships with community organizations to identify and resolve issues
- Provides care management support for persons with disabilities (EPD and DDD ALTCS members)
- Assesses needs using a standardized process
- Develops service plan to put services in place and coordinates with primary providers
- Ensures culturally competent care/case management
- Provide care management support to tribal membership, and, for the purposes of care coordination for medical, behavioral, and social determinants of health services
- Assist members in establishing/engaging with providers
- Coordinate service delivery for members receiving services at Indian Health Services (IHS) or 638 Tribal Facilities
- Provides information, assistance, & help in finding culturally appropriate care and resources
- Support/develop collaborative relationships with IHS, Tribes, Tribal Organizations, Urban Indian Organizations (I/T/U) serving tribes in its assigned GSA(s)
- Monitor data and identify trends related to American Indian members, including but not limited to quality of care, access, timeliness, and availability of services
- Evaluate clinical processes and suggest revisions to increase productivity and efficiency
- Support and update annual tribal documents
- Update any ad hoc reports from AHCCCS/DDD
- Collaborate with AHCCCS and DDD, IHS and 638 Tribal Facilities to improve communication through the utilization of health information exchange (HIE) to improve coordination of care and health outcomes for American Indian members
- Identify barriers associated with physical and behavioral health service delivery to the American Indian population
- Coordinate with the health plan court coordinators for members on COT/COE
- Provide training and education on best practices and general clinical requirements to tribal and Health Plan staff
- Collaborate with tribes to utilize existing technological infrastructure for telemedicine and tele-psychiatry.
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:
- Registered Nurse, active AZ license
- 5+ years of experience as a care manager/utilization management helping individuals with physical/behavioral health needs
- 4+ years of experience working within the community health setting in a health care role
- Experience working remotely
- Experience with Microsoft Office Suite including Word, Excel, Outlook, and PowerPoint
- Affiliated or member of a tribe, or experience working directly with IHS, Tribes, Tribal Organizations, Urban Indian Organizations (I/T/U) in a healthcare setting
- Experience with varying technology and platforms
Preferred Qualifications:
- AZ Medicaid Experience
- Experience in long-term care, home health, hospice, public health or assisted living treatment setting
- Experience working with individuals with multiple co-morbidities and complex medical conditions
- Experience identifying complex problems and reviewing related information to develop and evaluate options and implement solutions
- Diabetes Disease case management and/or educator
Soft Skills
- Excellent verbal and written communication skills; ability to speak clearly and concisely, convey complex or technical information in a manner that others can understand and interrelate with individuals at various levels
- Self-directed – Independent
- Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously
*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.