RN Care Coordinator

2 weeks ago


San Antonio, Texas, United States UnitedHealth Group Inc Full time
Job Title: RN Care Coordinator

At UnitedHealth Group Inc, we're simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. We're seeking a skilled RN Care Coordinator to join our team.

Job Summary:

This role involves addressing medical, behavioral, and social determinants of health factors that improve the well-being of individuals, families, and communities. As a RN Care Coordinator, you'll work with a diverse population of members to assist with unmet needs, close gaps in care, reduce risk for ER and hospital utilization, identify appropriate referral needs, and provide education on disease management and preventive healthcare.

Key Responsibilities:
  • Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.
  • Utilize company and community-based resources to establish a safe and effective case management plan for members.
  • Collaborate with patient, family, and healthcare providers to develop an individualized plan of care.
  • Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services.
  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
  • Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team.
  • Document all member assessments, care plan, and referrals provided.
  • Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care.
Requirements:
  • 2+ years of experience working within the community health setting in a healthcare role.
  • Intermediate level of proficiency in MS Office (Word, Excel, PowerPoint, Outlook, Teams).
  • Intermediate level of proficiency with technology resources (computers/mobile devices, Internet, social media platforms & networks, software applications, virtual presence, etc.).
  • Have a designated quiet workspace and access to install secure high-speed internet via cable/DSL in home.
  • This is a non-exempt/hourly paid role. Must be willing to work core business hours Mon-Fri, 8:00am - 5:00pm (CT) and overtime, when required at the request of the business.
  • Expect to travel up to 25% of time in the field, visiting our members in their homes, long term care (LTC), or other approved facilities.
Preferred Qualifications:
  • Certified Diabetes Care and Education Specialist or Registered Dietician.
  • Background in managing populations with diabetes.
  • BSN - Bachelor of Science in Nursing.
  • 4+ years diversified clinical nursing experience, including medical/surgical nursing, case management or home care.
  • Bilingual.
  • Experience collaborating with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communities.
  • Experience with arranging community resources.
  • Background in managing populations with complex medical or behavioral needs.
  • Proficiency in CMS marketing rules and regulations.
  • Behavioral health experience.
  • Field-based work experience.
What We Offer:
  • Competitive base pay.
  • A full and comprehensive benefit program.
  • Performance rewards.
  • A management team who demonstrates their commitment to your success.
  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays.
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account.
  • Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage.
  • 401(k) Savings Plan, Employee Stock Purchase Plan.
  • Education Reimbursement.
  • Employee Assistance Program.
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.).
About UnitedHealth Group:

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We're 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.

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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