Field Clinical Coordinator RN

Company: UnitedHealth Group
Location: Philadelphia
Posted on: May 28, 2023

Job Description:

Numerous opportunities available due to growth!
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 and start doing your life's best work.(sm)
The Field Clinical Coordinator RN will be the primary care manager for members with High Risk Pregnancies and infants requiring a NICU level of care. -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.
Schedule: Monday through Friday 8:00 to 5:00 pm Central Time Zone
Location: This is a field-based position with a home-based office. You will work from home when not in the field.
If you are located in Louisiana, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:

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• 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
  
• 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
  
• Coordinating care for high-risk maternity and NICU members
  
  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:
  
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  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
    
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
    
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
    
  • 401(k) Savings Plan, Employee Stock Purchase Plan
    
  • Education Reimbursement
    
  • Employee Discounts
    
  • Employee Assistance Program
    
  • Employee Referral Bonus Program
    
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
    
  • More information can be downloaded at: http://uhg.hr/uhgbenefits
    
    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:
    
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    • Bachelor's degree (or higher) in Nursing (RN) or 2+ years of equivalent nursing experience
      
    • Unrestricted RN license in the State of Louisiana
      
    • Intermediate level of computer proficiency (including Microsoft Outlook) and ability to use multiple web applications and enter/retrieve data in electronic clinical records
      
    • Ability to travel locally approximately 50% of the time and up to 100 miles round trip with reliable transportation, that will enable you to travel to client and/or patient sites within a designated area, with a current and non-restricted state of Louisiana driver's license and state-required insurance
      
    • 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:
      
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      • Certified Case Manager (CCM)
        
      • 2+ years of Maternal/Child Clinical experience or 1+ years of experience as a Maternity Case Manager for an insurance compan
        
      • Psychiatric or Behavioral Health experience
        
      • Medicaid experience
        
      • Case Management experience
        
      • Experience working with chronic illness and complex care needs population
        
      • Experience in utilization review, concurrent review and / or risk management
        
      • Background in managed care
        
      • Bilingual in English and Spanish
        
      • Proven ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
        
        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 employees working remotely 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.

Keywords: UnitedHealth Group, Philadelphia , Field Clinical Coordinator RN, Healthcare , Philadelphia, Pennsylvania