Remote HSS Clinical Coordinator RN – Kansas City, KS Metro Area

UnitedHealthcare

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Requisition Number: 2215739
Job Category: Medical & Clinical Operations
Primary Location: Kansas City, KS
(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 to start Caring. Connecting. Growing together.

This is a Field-Based Role with a Home-Based Office

If you reside within the Kansas City Metro Area, you will have the flexibility to work in both the field as well as remotely* as you take on some tough challenges.

Primary Responsibilities: 

  • Assess, plan and implement care strategies that are individualized and directed toward the most appropriate level of care for Medicare and Medicaid members while proactively engaging the member to manage their own health and healthcare
  • Utilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines
  • This is high volume, high pace, customer service environment. Must be efficient, productive and thorough dealing with our members over the phone and in person
  • Must be strongly patient-focused and adaptable to changes
  • Proactively engage the member to manage their own health and healthcare using Motivational Interviewing Skills
  • Highly detailed charting on member’s reported needs, medical and behavioral health history, current management of their health concerns and social determinacies of health needs and medication reconciliation
  • Manage the Transitions of Care for members when discharged from in-patient hospital stays and emergency room
  • Help member set goals and develop a care plan to achieve those goals and update their care plan regularly as they progress toward goals met
  • Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician and specialists
  • Identify and initiate referrals for social service programs; including financial, community resources, medical, behavioral health, psychosocial, community and state supportive services
  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
  • Advocate for Persons as needed to ensure the Person has access to care
  • Provide clinical support for nonclinical staff of the team, in way of education on medications, diagnosis and disease specific education
  • Collaborate with interdisciplinary team to ensure appropriate services and identify needs
  • Strong computer and software navigation skills are critical
  • Be flexible, adaptable and, above all, patient in all types of situations

 

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:

  • Bachelor of Science in Nursing
  • Unrestricted Licensed RN in the State of Kansas
  • 3+ years of experience working in the community as a RN in acute inpatient care, long-term care, home health, hospice, public health, behavioral health, or assisted living
  • Intermediate – Advanced experience working with MS Word, Excel and Microsoft Outlook
  • Experience with electronic charting
  • Ability to travel locally up to 75% of the time and up to 100 miles round trip with Reliable transportation, with a current and non-restricted state of Kansas Driver’s License and State-required insurance

Preferred Qualifications:

  • A background in managing Medicaid and Medicare populations with complex medical and behavioral needs
  • Experience with arranging community resources
  • Bilingual (Spanish)

 

*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.