RN Clinical Coordinator

$58,302 - $114,296/Yr

UnitedHealth Group - Atlantic City, NJ

Full-time - Entry Level

Onsite - Atlantic City, NJ

Insurance Carriers and Related Activities

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, promoting appropriate service utilization and improved quality of care. The position requires significant fieldwork, with approximately 80% of time spent visiting members in their homes or long-term care facilities.

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.

Requirements

• Current, unrestricted independent licensure as a Registered Nurse
• 2+ years of clinical experience
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Access to reliable transportation and the ability to travel up to 80% of your time within assigned territory to meet with members and providers.

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.

Benefits

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