Remote HSS Clinical Coordinator RN – Duluth, MN


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Requisition Number: 2170782
Job Category: Medical & Clinical Operations
Primary Location: Duluth, MN
(Remote considered)

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 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 Duluth, MN or Superior, WI, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities: 

  • Engage members face-to-face, virtually 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 and community-based 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
  • 1+ year working experience/familiarity with the state documentation systems
  • Reliable transportation and the ability to travel within assigned territory to meet with members and providers

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
  • Experience working in team-based care
  • Background in Managed 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

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