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.The Obstetrical RN 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 in Tennessee, you’ll enjoy the flexibility to work remotely as you take on some tough challenges.This is a home-based position with field responsibilities, approximately 25% of the time within Shelby County and surrounding areas.Primary 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
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.Required Qualifications:
Current, unrestricted RN license in the state of Tennessee or compact state licensure
Unrestricted driver’s license and reliable transportation within service area
2+ years of work experience with assigned specialty population
2+ years of clinical experience in a hospital, acute care, home health/hospice, or case management
Intermediate computer/typing proficiency to enter and retrieve data in electronic clinical records as well as experience with email, internet research, use of online calendars and other software applications
Problem solving skills including the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Ability to travel in assigned region to visit members in their homes and/or other settings such as hospitals or providers' offices
Reside in Tennessee (West TN, Shelby County, Memphis, Tipton County, Fayette County)
Preferred Qualifications:
BSN, Master's Degree or Higher in Clinical Field
CCM certification
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
