Field HSS Clin Coordinator RN-West Central Florida

3 days ago


Haines City, Florida, United States UnitedHealthcare Full time
About the Role

We are seeking a skilled Healthcare Specialist to join our team as a Medical Case Manager. This is an exciting opportunity to work with a dynamic team and make a meaningful impact on people's lives.

Job Description

The primary responsibility of this role is to serve as a Primary Care Manager for members with complex medical needs. You will engage with members through various modalities to complete comprehensive needs assessments, including medical, behavioral, functional, cultural, socioeconomic, and social determinants of health needs.

You will develop and implement personalized care plans to address these needs, incorporating management of chronic health conditions, health promotion, and wellness, social determinants of health, medication management, and member safety in alignment with evidence-based guidelines.

As a Clinical Care Manager, you will partner and collaborate with internal care teams, providers, community resources, and partners to implement care plans. You will monitor and update care plans, incorporating feedback from members to ensure compliance with interventions and achieve care plan goals.

This role requires strong communication and interpersonal skills to provide education and coaching to support member self-management of care needs, lifestyle changes to promote health, and personal wellness planning. You will also assist members in developing health crisis plans and perform targeted activities to support HEDIS/STAR gap closure.

Requirements

To be successful in this role, you must have:

  • A current, unrestricted, independent licensure as a Registered Nurse
  • 4+ years of relevant clinical work experience
  • 3+ years of experience managing the needs of complex populations (e.g., Medicare, Medicaid)
  • 1+ year of community case management experience coordinating care for individuals with complex needs
  • Demonstrated knowledge of Medicare and Medicaid benefits
  • Ability to travel 25% of the time for this role

We offer a competitive salary range of $60,000-$90,000 per year, based on location and experience.



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