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Clinical Care RN Coordinator

2 months ago


Edison, New Jersey, United States UnitedHealth Group Full time

At UnitedHealthcare, we are dedicated to enhancing the health care experience, fostering healthier communities, and eliminating obstacles to quality care. The contributions you make here will positively influence the lives of countless individuals. We invite you to help shape the future of health care, making it more responsive, affordable, and equitable. Are you ready to make a meaningful impact? Let's embark on this journey of Caring. Connecting. Growing together.

The RN Clinical Care Coordinator will serve as the primary care manager for a designated group of members facing intricate medical and behavioral challenges. The focus of care coordination will be on addressing the medical, behavioral, and socioeconomic needs of members to ensure optimal service utilization and enhanced care quality.

Expect to allocate approximately 80% of your time in the field, engaging with our members in their residences or long-term care settings. Flexibility, adaptability, and patience are essential traits for navigating various situations. Are you prepared to travel within the designated regions?

Key Responsibilities:

  • Conduct face-to-face and/or telephonic comprehensive needs assessments, evaluating medical, behavioral, functional, cultural, and socioeconomic factors.
  • Design and execute personalized care plans that address needs, including chronic condition management, health promotion, social determinants of health, medication oversight, and member safety, in accordance with evidence-based practices.
  • Collaborate with internal care teams, healthcare providers, and community resources to implement care strategies.
  • Provide education and coaching to empower members in managing their care needs and making lifestyle adjustments for better health outcomes.
  • Facilitate proactive discharge planning and coordinate care transitions following emergency room visits, hospital admissions, or skilled nursing facility stays.
  • Advocate for members and their families to ensure their needs and preferences are fully acknowledged and supported by the healthcare team.

Your efforts will be recognized and rewarded in an environment that challenges you while providing clear guidance on achieving success in your role, along with opportunities for professional development.

Required Qualifications:

  • Current, unrestricted independent licensure as a Registered Nurse.
  • A minimum of 2 years of clinical experience.
  • At least 1 year of proficiency with MS Office applications, including Word, Excel, and Outlook.
  • Reliable transportation and the ability to travel within the assigned territory to meet with members and providers.

Preferred Qualifications:

  • Bachelor of Science in Nursing (BSN) or a higher degree in a clinical field.
  • Certification in Case Management (CCM).
  • At least 1 year of experience in community case management for individuals with complex needs.
  • Experience in team-based care environments.
  • Background in managed care settings.

Physical Requirements:

  • Ability to transition between office and field locations multiple times daily.
  • Capability to navigate various terrains to visit members and providers.
  • Ability to transport necessary equipment for field visits (e.g., laptop, stethoscope).
  • Capacity to remain stationary for extended periods to complete computer or tablet tasks.

Compensation: The hourly pay range for this position is $28.03 to $54.95, based on factors such as local labor markets, education, work experience, and certifications. UnitedHealth Group adheres to all applicable minimum wage laws. In addition to competitive pay, we offer a comprehensive benefits package, incentive programs, equity stock purchase options, and 401k contributions (subject to eligibility requirements).

At UnitedHealth Group, our mission is to empower individuals to lead healthier lives and improve the health system for everyone. We believe that every person, regardless of race, gender, sexuality, age, location, or income, deserves the opportunity to achieve their healthiest life. We are committed to addressing health disparities and enhancing health outcomes, reflecting our mission in all we do.

Diversity fosters a healthier environment: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer. 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 maintains a drug-free workplace. Candidates must pass a drug test prior to employment.