Pediatric Health Coordinator
3 weeks ago
Company Overview:
">At UnitedHealth Group Inc, we're dedicated to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. We believe everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances.
">About the Role:
">We're seeking a highly skilled Pediatric Health Coordinator - Clinical Care Manager to join our team. As a key member of our care management team, you will play a vital role in supporting members with primary complex medical needs.
">Job Responsibilities:
">- ">
- Serve as primary care manager for members with primary complex medical needs">
- Engage members through various modalities to complete a comprehensive needs assessment">
- Develop and implement person-centered care plans to address needs, including management of chronic health conditions, health promotion, and wellness">
- Partner and collaborate with internal care teams, providers, community resources, and leverage expertise to implement care plans">
- Monitor and update care plans, incorporating feedback from members to monitor compliance with interventions to achieve care plan goals">
- Provide education and coaching to support member self-management of care needs, lifestyle changes to promote health, and development of personal wellness plans/health crisis plans">
- Perform targeted activities and provide education to support HEDIS/STAR gap closure, including scheduling, reminding, and verification of appointments to receive specific services">
- Monitor compliance with medication regimens and make referrals to pharmacists for medication review and recommendations">
- Reassess and update care plans with changes in condition or care needs">
- Support proactive discharge planning and manage/coordinated care transitions following ER visits, inpatient, or Skilled Nursing Facility (SNF) admissions">
- Access and coordinate Medicaid benefits to support care needs">
- Document all care management/coordination activity in clinical care management records">
Requirements:
">- ">
- 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)">
- 3+ years of clinical pediatric experience">
- 1+ years of community case management experience coordinating care for individuals with complex needs">
- Reside in the state of Florida">
Benefits:
">As a Pediatric Health Coordinator - Clinical Care Manager at UnitedHealth Group Inc, you can expect a competitive salary range of $85,000-$110,000 per year, depending on experience, along with a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.
">About UnitedHealth Group Inc:
">UnitedHealth Group Inc 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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