RN Service Coordinator

5 days ago


El Paso, Texas, United States UnitedHealth Group Inc Full time
Job Title: RN Service Coordinator

UnitedHealth Group Inc is seeking a skilled RN Service Coordinator to join our team. As a RN Service Coordinator, you will play a critical role in enhancing the quality of clinical and financial outcomes and member satisfaction while managing the plan of care.

Key Responsibilities:
  • Conduct holistic evaluations of members' individual dynamic needs and preferences, gathering relevant data and obtaining further information from members/families.
  • Provide education and support to members/LARs on options of Consumer Directed, or Service-Related delivery models as applicable.
  • Perform initial assessments and follow-up assessments and outreach calls within the time specified as part of contractual guidelines or per member/family/provider request.
  • Identify members for high-risk complications and coordinate care with the member and the healthcare team.
  • Manage members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost-effective and efficient utilization of health benefits.
Requirements:
  • Graduate of an accredited school of nursing.
  • Current unrestricted RN license in Texas.
  • 3+ years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities as a Service Coordinator, Case Management, or similar role.
  • 2+ years of experience working in a clinical, hospital, acute care, direct care, community health, or case management setting.
  • 1+ years of experience working within the community health setting in a healthcare role.
  • 1+ years of experience working with MS Word, Excel, and Outlook.
  • Ability to travel in assigned region to visit Medicaid members in their homes and/or other settings.
  • Bilingual - Spanish.
  • Access to reliable transportation with valid driver's license with good driving record.
Preferred Qualifications:
  • Bachelor's degree.
  • CCM/RUG certified.
  • 2+ years of experience working with Medicaid waiver populations.
  • Experience with electronic charting.
  • Experience with arranging community resources.
  • Field-based work experience.
  • Behavioral Health experience.
  • Background in managing populations with complex medical or behavioral needs.

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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



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