Clinical Care Coordinator RN

3 weeks ago

North Houston, United States UnitedHealthcare Full time
Job Title: Clinical Care Coordinator RN

At UnitedHealthcare, we're committed to simplifying the healthcare experience and creating healthier communities. As a Clinical Care Coordinator RN, you'll play a vital role in removing barriers to quality care and making a meaningful impact on the lives of millions of people.

Key Responsibilities:

  • Assess, plan, and implement care strategies tailored to individual patient needs
  • Utilize company and community-based resources to establish safe and effective case management plans
  • Collaborate with patients, families, and healthcare providers to develop personalized care plans
  • Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
  • Manage care plans throughout the continuum of care as a single point of contact
  • Communicate with stakeholders to ensure quality coordinated care and services are provided expeditiously
  • Advocate for patients and families to ensure their needs and choices are represented and supported by the healthcare team
  • Utilize approved clinical criteria to assess and determine appropriate levels of care for members
  • Document all member assessments, care plans, and referrals provided
  • Participate in interdisciplinary team meetings and utilization management rounds to provide information for safe transitions of care

Requirements:

  • Current unrestricted RN license in the state of Texas
  • 2+ years of experience working within the community health setting or in a healthcare role
  • Familiarity with Microsoft Office, including Word, Excel, and Outlook
  • Reliable transportation and ability to travel to visit Medicaid members in their homes and/or other settings
  • High-speed internet at residence

Preferred Qualifications:

  • 1+ years of experience with long-term care services and support, Medicaid or Medicare
  • Ability to create, edit, save, and send documents, spreadsheets, and emails
  • Knowledge of the principles of most integrated settings, including federal and state requirements

Why Choose UnitedHealthcare?

We offer a comprehensive benefit program, performance rewards, and a management team committed to your success. Our employees enjoy a range of benefits, including paid time off, medical plan options, dental, vision, life, and AD&D insurance, 401(k) savings plan, education reimbursement, employee discounts, and more.

Equal Employment Opportunity:

UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and welcomes applications from diverse candidates. We are committed to creating a healthier atmosphere and promoting diversity, equity, and inclusion in all aspects of our business.

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