Remote RN Field Clinical Care Coordinator – New Orleans, LA Market

UnitedHealthcare

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Requisition Number: 2204173
Job Category: Medical & Clinical Operations
Primary Location: New Orleans, LA
(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. 

 

RN Field Clinical Care Coordinator provides telephonic, virtual, and field-based care coordination based on 3-tier model, as well as specified PA reviews.

 

If you are located in New Orleans, LA, you will have the flexibility to work remotely* 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, make appropriate referrals based on care integration needs, and review prior authorization requests for pediatric special healthcare needs members in alignment with applicable guidelines
  • 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
  • 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: 

  • Unrestricted RN license in the State of Louisiana
  • 2+ years of equivalent nursing experience
  • 2+ years of experience working with pediatric special healthcare needs clinical experience or equivalent experience or 1+ years of experience as a pediatric case manager
  • Intermediate level of computer proficiency (including Microsoft Outlook) and ability to use multiple web applications and enter/retrieve data in electronic clinical records
  • Must reside in the State of Louisiana and within a commutable distance to New Orleans and surrounding communities
  • Ability to travel locally approximately 25% of the time and up to 100 miles round trip with reliable transportation, that will enable you to travel to client and/or patient sites within a designated area, with a current and non-restricted state of Louisiana driver’s license and state-required insurance

 

Preferred Qualifications:

  • Bachelor’s degree (or higher) in Nursing (RN) or Certified Case Manager (CCM)
  • Medicaid experience
  • Case Management experience
  • Experience working with chronic illness and complex care needs population
  • Experience in utilization review, concurrent review and / or risk management
  • Background in managed care
  • Bilingual in English and 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.    

 

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.