Remote RN Field Clinical Care Coordinator – Boston/Suffolk, MA Markets

UnitedHealthcare

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Requisition Number: 2209591
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.
This is a Field-Based role with a Home-Based Office

  

If you reside within a commutable distance of Boston/Suffolk County, MA Markets, you will have the flexibility to work a Hybrid schedule as this is a Field Based role.

 

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

 

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
  • 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+ year(s) of community case management experience coordinating care for individuals with complex needs
  • Background in Managed Care
  • Experience working in team-based care