RN Care Coordinator – Remote in Archuleta, La Plata, Dolores and Montezuma Counties, CO preferred

UnitedHealth Group • Durango, CO

116d • $28 - $50

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Doing the right thing is a way of life at Rocky Mountain Health Plans (RMHP). As part of the UnitedHealthcare family of plans, RMHP provides innovative health insurance coverage and personalized attention to individuals of all ages and business of all sizes throughout Western and rural Colorado. RMHP is continually striving to improve the health and wellness of our Members and partners in the state where we live, work, and play - because we’re Colorado, too. The RN Behavioral Health 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 locally to Archuleta, La Plata, Dolores or Montezuma Counties, CO, you will have the flexibility to work remotely while taking on some tough challenges.

Requirements

• Current, unrestricted independent licensure as a Registered Nurse in Colorado
• 2+ years of clinical experience
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Driver’s License and access to reliable transportation
• Ability to travel up to 25% of the time within SW Colorado (Archuleta, La Plata, Dolores, Montezuma) to meet with members and providers
• Resident of Colorado

Nice To Haves

• 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
• Behavioral health experience
• Experience working in team-based care
• Background in Managed Care

Responsibilities

• Engage members and/or their families face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs
• Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person’s readiness to change to support the best health and quality of life outcomes by meeting the member where they are
• 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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees