Remote Hybrid RN Nurse Care Coordinator – Galveston / Fort Bend / Harris Counties

UnitedHealthcare

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Requisition Number: 2198388
Job Category: Medical & Clinical Operations
Primary Location: Houston, TX
(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. 

 

In this RN Nurse Care 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.  Our team is made up of RNs and LVN’s dedicated to helping members achieve their health care goals. We work closely with the nursing facilities in which our members reside.

 

If you are located in Galveston, Fort Bend, Harris County, TX and have the ability to travel locally, you will have the flexibility to work remotely* as you take on some tough challenges. Travel required in local areas about 50% of the time based on business needs.

 

Primary Responsibilities:

  • Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease 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 Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers’ offices

 

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 Texas
  • 2+ years of experience working within the community health setting or in a health care role
  • Intermediate Microsoft Office experience working with Microsoft Word, Excel, and Outlook (ability to create, edit, save and send documents, spreadsheets and emails)
  • Reliable transportation and the ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers’ offices
  • High speed internet at residence

 

Preferred Qualifications:

  • RUG certification or the ability to obtain within 30 days of employment
  • Experience in case management and/or certification in case management (CCM)
  • Field-based work experience
  • Experience with electronic charting
  • Background in managing populations with complex medical or behavioral needs
  • Bilingual skills

 

*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.