Clinical Care Navigator

7 days ago


Camden, New Jersey, United States UnitedHealth Group Full time

About UnitedHealthcare

We're simplifying the healthcare 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 healthcare system of tomorrow, making it more responsive, affordable and equitable.

Job Overview

The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.

Responsibilities

  • Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic 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, and community resources/partners to implement care plan.
  • Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health.
  • Support proactive discharge planning and manage/coordinated Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission.
  • Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team.

Requirements

  • Current, unrestricted independent licensure as a Registered Nurse.
  • 2+ years of clinical experience.
  • 1+ years of experience with MS Office, including Word, Excel, and Outlook.
  • Access to reliable transportation and the ability to travel up to 80% of your time within assigned territory to meet with members and providers.

Salary Range

New Jersey Residents Only: $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

About Us

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.



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