RN Clinical Coordinator - Remote in New Jersey
About The Position
The HSS Clinical Coordinator RN is part of a care management team responsible for members with complex health needs, including developmental, mental health, or substance use disorders. The coordinator serves as the primary care manager for a panel of members with complex health needs and provides behavioral health support to the broader team. Care coordination focuses on medical, behavioral, and socioeconomic needs to promote appropriate service utilization and improve quality of care. The position is remote for employees located within the New Jersey territory, with travel up to 10% to an assigned territory. Employees working remotely must adhere to UnitedHealth Group’s Telecommuter Policy. The role involves engaging members face-to-face and/or by telephone, assessing their needs, developing person-centered care plans, and coordinating with care teams, providers, and community resources.
Requirements
- Current, unrestricted RN license in New Jersey.
- At least 2 years of RN experience in a hospital setting, acute care, direct care, and/or as a Case Manager.
- At least 1 year of paid professional experience working directly with elderly or physically disabled people in an institutional or community setting.
- At least 1 year of experience in long-term care, home health, hospice, public health, or assisted living.
- Ability to navigate a Windows environment and use Outlook, Microsoft Word, and Microsoft Excel to create, edit, save, and send documents.
- Ability to talk and type proficiently at the same time.
- Ability to remain stationary for long periods to complete computer or tablet work duties.
- If working remotely, adherence to UnitedHealth Group’s Telecommuter Policy.
Nice To Haves
- Bachelor’s degree or greater.
- Certified Case Manager (CCM).
- Experience working with DSNP.
- Experience working with populations with special needs.
- Experience or exposure to discharge planning.
- Experience in utilization review, concurrent review, and/or risk management.
- Experience with government health programs such as Medicaid or Medicare.
- Case Management experience.
- Background in managed care.
- Bilingual English/Spanish skills.
- Solid organizational skills and multitasking abilities.
Responsibilities
- Serve as primary care manager for members with high medical risks or needs and comorbid behavioral health needs.
- Engage members face-to-face and/or by telephone to complete comprehensive assessments of medical, behavioral, functional, cultural, and socioeconomic needs.
- Develop and implement individualized, person-centered care plans with goals, opportunities, and interventions aligned with each member’s readiness to change.
- Collaborate with internal care teams, providers, and community partners to implement care plans.
- Provide referrals and link members to appropriate internal services and community-based providers, as accepted by the member.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
