Field HSS Clinical Coordinator RN

3 weeks ago

Tyler, United States UnitedHealth Group Full time

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

If you are located within 30 miles of within Tyler, TX  you will have the flexibility to work remotely* as you take on some tough challenges.

This is a Field Based role with a Home-Based office.

Primary Responsibilities:

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of careUtilize both company and community-based resources to establish a safe and effective case management plan for membersCollaborate with patient, family, and healthcare providers to develop an individualized plan of careIdentify and initiate referrals for social service programs; including financial, psychosocial, community, and state supportive servicesManage care plan throughout the continuum of care as a single point of contactCommunicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all membersAdvocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare teamUtilize approved clinical criteria to assess and determine appropriate level of care for membersDocument all member assessments, care plan and referrals providedParticipate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of careUnderstand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health planAccountable to understand role and how it affects utilization management benchmarks and quality outcomesExpect to spend about 75% of your time in the field visiting our members in their homes or in long - term care facilities. You’ll need to be flexible, adaptable and, above all, patient in all types of situations

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)More information can be downloaded at: 

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current unrestricted RN license in the state of Texas2+ years of experience working within the community health setting or in a healthcare roleFamiliarity with Microsoft Office, including Word, Excel, and OutlookReliable transportation and the ability to travel in this ‘assigned region’ to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' officesHigh-speed internet at residence

Preferred Qualifications:

1+ years of experience with long term care services and support, Medicaid or MedicareAbility to create, edit, save and send documents, spreadsheets and emailsKnowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulationsReside within commutable distance of assigned duties

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: 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.

#RPO #RED

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