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Clinical Care Coordinator RN
1 month ago
At UnitedHealthcare, we're committed to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. Our team is dedicated to making a positive impact on the lives of millions of people.
The Clinical Coordinator RN will be the primary care manager for a panel of members with complex medical/behavioral needs. This role requires a high level of flexibility, adaptability, and patience in all types of situations.
Key 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 teams, providers, and community resources/partners to implement care plans.
- Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health.
- Support proactive discharge planning and manage/coordinate care transitions following ER visits, inpatient or Skilled Nursing Facility (SNF) admissions.
- Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the healthcare team.
- 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 within assigned territory to meet with members and providers.
- BSN, Master's Degree, or higher in a clinical field.
- CCM certification.
- 1+ years of community case management experience coordinating care for individuals with complex needs.
- Experience working in team-based care.
- Background in Managed Care.
- Ability to transition from office to field locations multiple times per day.
- Ability to navigate multiple locations/terrains to visit employees, members, and/or providers.
- Ability to transport equipment to and from field locations needed for visits (e.g., laptop, stethoscope, etc.).
- Ability to remain stationary for long periods to complete computer or tablet work duties.
UnitedHealth Group offers a comprehensive benefits package, including a competitive salary, incentive and recognition programs, equity stock purchase, and 401(k) contribution. We are an equal employment opportunity/affirmative action employer and welcome applications from diverse candidates.