Remote RN Field Clinical Care Coordinator – Boston, MA

UnitedHealthcare

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Requisition Number: 2188119
Job Category: Medical & Clinical Operations
Primary Location: Boston, MA
(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.

The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. 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.

If you reside within 30 minute drive of Boston, MA Market as this is a Field Based, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.

Primary Responsibilities:

  • 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 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

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

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 in the state of MA
  • 2+ years of clinical experience
  • 1+ years of experience with MS Office, including Word, Excel, and Outlook
  • Reliable transportation and the ability to travel within assigned territory to meet with members and providers
  • Reside within commutable distance of not more than 30-minute drive from Boston, MA Market

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
  • Background in Managed Care
  • Experience working in team-based care
  • Proven bilingual in Mandarin/Cantonese/Spanish

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy