RN Clinical Care Coordinator - Remote - Cookeville, Sparta or Gainsboro, TN

UnitedHealth Group • Sparta, TN

416d • Remote

About The Position

The RN Clinical Care Coordinator will serve as the primary care manager for a panel of members with complex medical and behavioral needs. This role focuses on care coordination activities that support members' medical, behavioral, and socioeconomic needs, aiming to promote appropriate utilization of services and improve the quality of care. The position is home-based with field responsibilities in specific counties in Tennessee.

Requirements

• Undergraduate degree or equivalent experience
• Current, unrestricted independent licensure as a Registered Nurse in Tennessee
• 2+ years of Clinical experience
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Reliable transportation and ability to travel up to 75% to meet with members and providers throughout Putnam, Jackson and White Counties.

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
• Experience working in team-based care
• Background in managed care.

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.

Benefits

• Flexible work environment
• Opportunities for professional development
• Recognition for performance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree