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Minnesota Seniors and SNBC - Clinical Coordinator - RN - Telecommute

Company: UnitedHealth Group
Location: Houston
Posted on: September 24, 2022

Job Description:

$5,000 Sign-On Bonus for External Candidates

Home-Based with Field Responsibilities

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. These members will have benefits available to them through MSHO or MSC+ and will have an Elderly Waiver. You may also work with members who have SNBC insurance. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. It will also focus on meeting all the state requirements of care coordination including completing and entering assessments into internal and external systems. This position is part of an interdisciplinary team working together. There is a strong focus on addressing racial disparities, delivering person-centered care, collaboration with the county and community organizations and creating innovation and value within our programs.

If you are located in St. Louis County or Scott County, MN, you will have the flexibility to telecommute as you take on some tough challenges.

Primary 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 team, providers, and community resources/partners to implement care plan
  • 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 Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
  • Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team
  • Enter assessment information into internal and external systems within regulated timelines
  • Assess members for long term support services (such as PCA, home health aide, skilled nursing visits and other home based care services).
  • As a Care Coordinator, you will play a critical role in supporting this new health plan foster a person-centered approach to care that prioritizes the commitments we've made to addressing health inequities in, and in collaboration with, historically oppressed and underserved communities.
  • In this role you will have the opportunity to work at home with field-based requirements. You will primarily be working with members in St. Louis County or Scott County. You must live in one of these counties or within a commutable distance as you will be required to complete face-to-face assessments, as needed

    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 independent licensure as a Registered Nurse
    • 2+ of Clinical Experience
    • 1+ years of experience with MS Office, including Word, Excel, and Outlook
    • Reliable transportation and the ability to travel within assigned territory to meet with members and providers
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

      Preferred Qualifications:

      • BSN, Master's Degree or Higher in Clinical Field
      • CCM certification
      • 1+ years of community case management experience coordinating care for individuals with complex needs
      • Background in Managed Care
      • Experience working in team-based care

        Physical Requirements:

        • 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 (ex. laptop, stethoscope, etc.)
        • Ability to remain stationary for long periods of time to complete computer or tablet work duties

          To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

          Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

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

          PLEASE NOTE The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a Sign On Bonus.

          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.

Keywords: UnitedHealth Group, Houston , Minnesota Seniors and SNBC - Clinical Coordinator - RN - Telecommute, Healthcare , Houston, Texas

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