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UnitedHealth Group - Pflugerville, TX

posted about 2 months ago

Full-time - Mid Level
Remote - Pflugerville, TX
Insurance Carriers and Related Activities

About the position

The RN Care Coordinator role at UnitedHealth Group is a vital part of the Integrated Care Model, focusing on advocating for members' healthcare needs and ensuring they receive appropriate services. This position involves working closely with nursing facilities and requires local travel to meet members in various settings. The role emphasizes individualized care strategies and effective communication among stakeholders to enhance the quality of care provided to members.

Responsibilities

  • Assess, plan, and implement individualized care strategies for members.
  • Identify and initiate referrals for member transitions to community resources and assist with social service programs.
  • Manage the care plan throughout the continuum of care as a single point of contact.
  • Communicate with all stakeholders to ensure quality coordinated care and services are provided expeditiously.
  • Advocate for members and families to ensure their needs and choices are represented and supported by the healthcare team.
  • Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices.

Requirements

  • Current, unrestricted RN license in the state of Texas.
  • 2+ years of experience working within the community health setting or in a healthcare role.
  • Intermediate level of computer proficiency, including Microsoft Outlook and Teams.
  • Reliable transportation and ability to travel in the assigned region to visit Medicaid members.
  • Access to a designated quiet workspace at home with the ability to secure Protected Health Information (PHI).
  • Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection.

Nice-to-haves

  • 1+ years of experience with long-term care services and support, Medicaid or Medicare.
  • Ability to create, edit, save and send documents, spreadsheets, and emails.
  • Knowledge of principles of integrated settings, including federal and state requirements.

Benefits

  • Paid Time Off which accrues with the first pay period plus 8 Paid Holidays.
  • Medical Plan options with participation in a Health Spending Account or Health Saving Account.
  • Dental, Vision, Life & AD&D Insurance, Short-term and Long-term Disability coverage.
  • 401(k) Savings Plan and Employee Stock Purchase Plan.
  • Education Reimbursement.
  • Employee Discounts and Employee Assistance Program.
  • Employee Referral Bonus Program.
  • Voluntary Benefits including pet insurance and legal insurance.
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