Remote Hybrid RN Health Coordinator – Oahu, HI

Requisition Number: 2160709
Job Category: Medical & Clinical Operations
Primary Location: Honolulu, HI
(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)

You push yourself to reach higher and go further. Because for you, it’s all about ensuring a positive outcome for patients. In this role, you’ll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you’ll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.

In this Health and Social Services Coordinator role, 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.

If you are located on Oahu, HI, you will have the flexibility to work remotely* as you take on some tough challenges. Must be able to travel locally on Oahu, HI up to 75% of the time. Our teams are based in the downtown Honolulu area along with West Side, East Side, and North Shore areas.

Primary Responsibilities:

• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care
• Identify and initiate referrals for 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 the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team

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 RN license in the state of Hawaii
• 2+ years of clinical experience
• Experience working directly or collaborating services for long-term care, home health, hospice, public health or assisted living
• Intermediate experience working with MS Word, Excel and Outlook
• Ability to travel in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals or providers offices
• Current access or ability to obtain internet access via a landline

Preferred Qualifications:

• Bachelor’s degree or higher
• CCM (Certified Case Manager)
• Experience with or exposure to discharge planning
• Experience with utilization review, concurrent review and/or risk management
• Experience with electronic charting
• Experience with arranging community resources
• Field-based work experience
• Case Management experience
• Experience working within the community health setting
• Background/experience with at least one of the following: behavioral/mental health, psychiatric nursing, housing/homeless outreach, community resource linkages, pregnancy, pediatrics or disease management
• Background in managing populations with complex medical or behavioral needs
• Background in mental health or experience working with serious mental illness
• Bilingual in Cantonese or Mandarin
• Psych background including community nursing such as PHN or IP psych facility

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