RN Health Coordinator

3 weeks ago


Kailua, Hawaii, United States UnitedHealthcare Full time
Job Summary

UnitedHealthcare is seeking a skilled RN Health Coordinator to join our team. As a RN Health Coordinator, you will play a vital role in coordinating the long-term care needs for patients in the local community. You will work closely with patients, families, and healthcare providers to ensure that patients receive the best possible care.

Responsibilities
  • Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.
  • Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services.
  • Manage the care plan throughout the continuum of care as a single point of contact.
  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
  • Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team.
Requirements
  • Current, unrestricted RN license in the state of Hawaii.
  • 2+ years of clinical experience.
  • Experience working directly or collaborating services for long-term care, home health, hospice, public health, or assisted living.
  • Intermediate level of proficiency with MS Word, Excel, and Outlook.
  • Ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or provider offices.
  • Current access or ability to obtain internet access via a landline.
Preferred Qualifications
  • Bachelor's degree or higher.
  • CCM (Certified Case Manager).
  • Experience with or exposure to discharge planning.
  • Experience with utilization review, concurrent review, and/or risk management.
  • Experience with electronic charting.
  • Experience with arranging community resources.
  • Field-based work experience.
  • Case Management experience.
  • Experience working within the community health setting.
  • Background/experience with at least one of the following: behavioral/mental health, psychiatric nursing, housing/homeless outreach, community resource linkages, pregnancy, pediatrics, or disease management.
  • Background in managing populations with complex medical or behavioral needs.
  • Background in mental health or experience working with serious mental illness.
  • Bilingual in Cantonese or Mandarin.
  • Psych background including community nursing such as PHN or IP psych facility.


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