Clinical Care Coordinator

3 days ago


Trenton, New Jersey, United States UnitedHealth Group Full time
Transforming Healthcare Together

At UnitedHealth Group, we're dedicated to simplifying the healthcare experience and creating healthier communities. Our mission is to make the healthcare system work better for everyone. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances.

We're seeking a skilled RN Clinical Coordinator to join our team. As a key member of our healthcare team, you'll play a vital role in supporting our diverse member population with education, advocacy, and connections to the resources they need to thrive.

Key Responsibilities:
  • Conduct thorough assessments of members' health status and develop effective care plans
  • Deliver exceptional telephonic case management to promote behavior change and improve health outcomes
  • Identify gaps or barriers in treatment plans and provide patient education to support self-management
  • Collaborate with Medical Directors on challenging cases and present at rounds
  • Coordinate care for members, including referrals to outside sources and coordination of services
  • Document and track findings to ensure seamless care delivery
Requirements:
  • Current, unrestricted RN license in New Jersey
  • 2+ years of RN experience in a hospital setting, acute care, or direct care experience
  • 1+ years of paid professional experience working with the elderly or physically disabled
  • Ability to navigate a Windows environment and utilize Outlook, Microsoft Word, and Excel
  • Access to reliable transportation and the ability to travel up to 50% within assigned territory
Preferred Qualifications:
  • Bachelor's degree or greater
  • Certified Case Manager (CCM)
  • 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
  • Bilingual - English/Spanish

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. 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.



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