Pediatric field RN Care Coordinator in Jacksonville or Miami, FL
3 weeks ago
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.
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Jacksonville, United States UnitedHealth Group Inc Full timebody>Pediatric field RN Care Coordinator in Jacksonville or Miami, FLAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. This position will be the primary care manager for a...
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Jacksonville, FL, United States UnitedHealth Group Inc Full timePediatric field RN Care Coordinator in Jacksonville or Miami, FLAt 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,...
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Jacksonville, FL, United States UnitedHealth Group Inc Full timePediatric RN Care Coordinator in Jacksonville or Miami, FLAt 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...
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Jacksonville, FL, United States UnitedHealth Group Inc Full timeField RN Care Coordinator - Jacksonville and Surrounding AreasAt 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...
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Jacksonville, FL, United States UnitedHealth Group Inc Full timeField RN Care Coordinator - Jacksonville and Surrounding AreasAt 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...
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Jacksonville, United States CS Baptist Health - Jacksonville FL Full timeBaptist Health in Jacksonville Florida is looking for a Pediatric Inpatient Psychiatrist to join its large group practice. Wolfson Childrens Hospital, one of the top childrens hospitals in the country, is seeking an Inpatient pediatric psychiatrist. The Pediatric Psychiatrist will perform comprehensive psychological and developmental diagnostic evaluations....
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Jacksonville, Florida, United States CS Baptist Health - Jacksonville FL Full timeBaptist Health in Jacksonville Florida is seeking a Pediatric Inpatient Psychiatrist to join its large group practice. Wolfson Childrens Hospital, one of the top childrens hospitals in the country, is looking for an Inpatient pediatric psychiatrist. The Pediatric Psychiatrist will perform comprehensive psychological and developmental diagnostic evaluations....
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Jacksonville, United States Baptist Medical Center Jacksonville Full timeRegistered Nurse, Cardiac Outpatient Services, Baptist JacksonvilleJob Posting Summary Baptist Health is looking to add a Registered Nurse in Cardiac Outpatient Services to our Heart Center at Baptist Jacksonville in Jacksonville, FL. This is a Full-Time, Day shift opportunity working Monday through Friday 4 shift a week. Two 8-hour shifts and two 12-hour...
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Jacksonville, United States Women's Care Full timeIt is an exciting time at Women's Care with abundant opportunity ahead! We have Certified Nurse Midwife opportunities to grow our established teams in Jacksonville, FL!As a Certified Nurse Midwife for Women’s Care, you will provide patient care in clinical and hospital settings. You will manage care related to pregnancy, labor, birth, postpartum care, and...
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Primary Care Physician- Jacksonville, FL
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Jacksonville, United States Sterling Physician Recruiters, LLC Full timePrimary Care PhysicianJoin an expanding Primary Practice Group in Jacksonville, FL within minutes to beautiful beaches and Saint Johns River communities. Group has a significant footprint with 50+ providers in 5 outpatient clinics, esteemed subsidiary of a national (value based) healthcare organization. Full spectrum practice, including family and internal...
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