UnitedHealth Group
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.
In this RN Nurse Care Coordinator role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. Our team is made up of RNs, LVN’s, and CACs dedicated to helping members achieve their health care goals. We work closely with the nursing facilities in which our members reside. If you are within the Ellis and Johnson County, TX within one of the following zip code areas 75119, 76651, 75165, 76009 or 76031 and can travel locally, you will have the flexibility to work remotely as you take on some tough challenges. Travel required in local areas about 75% of the time based on business needs. This is a field-based position with a home-based office.
Required Qualifications: Current and unrestricted RN license in the state of Texas 2+ years of experience working within the community health setting or in a health care role Intermediate level of computer proficiency including Microsoft Outlook, Teams, and the ability to use multiple web applications Reliable 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’ offices Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Possess a valid US driver’s license Preferred Qualifications: 1+ years of experience with long term care services and support, Medicaid or Medicare Ability to create, edit, save and send documents, spreadsheets and emails Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations Reside within commutable distance of assigned duties
Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for member transition to community request and provide assist with 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 for the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members 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 Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers’ offices
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