Clinical Care Coordinator, DSNP - Remote in Las Cruces, NM

UnitedHealth Group; Las Cruces (NM); Remote; Confidential; Full time

Job summary

An established industry player is seeking a dedicated RN Clinical Care Coordinator to manage care for members with complex needs. In this role, you will engage with members to assess their medical, behavioral, and socioeconomic needs, developing personalized care plans that promote health and wellness. This remote position offers flexibility while providing the opportunity to make a significant impact on the lives of individuals in your community. If you are passionate about improving health outcomes and enjoy working collaboratively with a care team, this role is perfect for you. Join us in creating a more equitable healthcare experience for all!

Qualifications

• Must be a licensed RN with experience in care coordination.
• Strong assessment and communication skills are essential.

Responsibilities

• Coordinate care for members with complex medical needs.
• Develop and implement person-centered care plans.
• Engage members to promote self-management of health.

Skills

Care Coordination

Assessment Skills

Patient Advocacy

Cultural Sensitivity

Communication Skills

Education

Registered Nurse (RN) License

Bachelor's Degree in Nursing or related field

Tools

Electronic Health Records (EHR)

Telehealth Platforms

Job description

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 RN Clinical Care Coordinator will be the primary care manager for a panel of DSNP members with complex medical/behavioral needs. Care coordination activities focus on supporting member’s medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am to 5pm. It may be necessary, given the business need, to work occasional overtime. This position is a remote-based position with a home-based office.

If you are located in or within commutable driving distance to Las Cruces, NM, you will have the flexibility to work remotely as you take on some tough challenges.

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.
• Provide care coordination for complex members.
• Educate members about complex medical conditions.
• Create a positive experience and relationship with the member.
• Practice cultural sensitivity and cultural competence in daily care.
• Learn and listen to member needs and barriers to help promote self-advocating.
• Collaborate with the clinical team on social aspects that might impact treatment plan.
• Proactively engage the member to manage their own health and healthcare.
• As needed, help the member engage with mental health and substance use treatment.
• Provide member education and health literacy on community resources and benefits to encourage self-sufficiency.
• Support member to engage in work or volunteer activities, if desired, and develop stronger social supports through deeper connections with friends, family, and their community.
• Partner with care team (community, providers, internal staff).
• Knowledge and continued learning of community cultures and values.
• Conduct Comprehensive Needs Assessment (CNA).
• Ability to transition from office to field locations multiple times per day.
• Ability to navigate multiple locations/terrains to visit employees, members, and/or providers.
• Ability to transport equipment to and from field locations needed for visits (e.g., laptop, etc.).
• Ability to remain stationary for long periods of time to complete computer or tablet work duties.

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