Field Service Coordinator, RN - Remote in Brownsville, TX
About The Position
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Position in this function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members. This is a Field-Based role with a Home-Based Office. If you are located in or within commutable driving distance from Brownsville, TX, you will have the flexibility to work remotely as you take on some tough challenges. 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.
Requirements
- RN license in the state of TX
- 2+ years of clinical experience
- Knowledge of computer functionality and software applications (e.g., Excel, Word, Outlook, Power Point
- Proven work effectively in a changing environment
- Proven manages time effectively
- Proven produces high-quality work
- Proven works with less structured, more complex issues
- Reliable Home Internet with designated office space to ensure privacy/HIPAA compliance
- Valid driver’s license, reliable transportation and the ability to travel up to 75%25 in this ‘assigned region’ to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices
- Reside in or within a commutable driving distance from Brownsville, TX and surrounding areas
Nice To Haves
- Pediatric experience
- Knowledge of relevant state and federal guidelines
- Proven electronic charting, accessing intranet and record management databases
- Proven bilingual skills
- Reside in one of the following zip codes: 78520, 78521, 78522, 78523, 78526,78566, 78575, 78578, 78586
Responsibilities
- Assesses and interprets customer needs and requirements
- Identifies solutions to non-standard requests and problems
- Solves moderately complex problems and/or conducts moderately complex analyses
- Works with minimal guidance; seeks guidance on only the most complex tasks
- Translates concepts into practice
- Provides explanations and information to others on difficult issues
- Coaches, provides feedback, and guides others
- Acts as a resource for others with less experience
- Serves as a resource to others
- Demonstrate understanding of relevant health care benefit plans
- Demonstrate knowledge of applicable area of clinical specialization
- Utilize resources to enhance professional practice and development based on learning gaps or new information. Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standards, industry standards, best practices, and contractual requirements) to make clinical decisions, improve clinical outcomes and achieve business results
- Identify and implement innovative approaches to the practice, in order to achieve or enhance quality outcomes and financial performance
- Use appropriate business metrics and applicable processes/tools
Benefits
- In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
- No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
