HSS Clinical Coordinator RN - New Orleans, LA Market

UnitedHealth Group; New Orleans (LA); Remote; Confidential; Full time

Job summary

Join a leading health care organization as a primary care manager, where you will support members with complex needs through care coordination and education. This role offers a flexible remote work option for those near New Orleans, LA. You will be instrumental in improving health outcomes by developing tailored care plans and collaborating with a dedicated team. If you have a passion for making a difference in health care, this is the opportunity for you.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Qualifications

• 3+ years of experience managing needs of complex populations.
• 1+ years of community case management experience.

Responsibilities

• Serve as primary care manager for members with complex medical/behavioral needs.
• Develop and implement person-centered care plans.

Skills

Communication

Care Coordination

Patient Education

Education

Current, unrestricted LA RN license

Tools

Microsoft Word

Outlook

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.

If you are located within a commutable distance of New Orleans, LA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

1. Serve as primary care manager for members with complex medical/behavioral needs
2. Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, functional, cultural, and socioeconomic (SDOH) domains
3. 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
4. Identify gaps or barriers in treatment plans
5. Partner and collaborate with internal care team, providers, community resources/partners and leverage expertise to implement care plan
6. Coordinate care for members and services as needed (home health, DME, etc.)
7. Provide education and coaching to support Member self-management of care needs in alignment with evidence-based guidelines; HEDIS/STAR gap closure
8. Provide education regarding conditions, medications/medication adherence, provider/treatment options, healthcare system utilization
9. Help identify presence or exacerbation of behavioral health symptoms that may be influencing/impacting physical health
10. Provide guidance/consultation to other team members regarding physical/behavioral health conditions, best practices, and evidence

Required Qualifications:

1. Current, unrestricted LA RN license
2. 3+ years of experience managing needs of complex populations (e.g., Medicaid)
3. 2+ years of relevant clinical work experience
4. 1+ years of community case management experience coordinating care for individuals with complex needs
5. Applied knowledge of Medicaid benefits
6. Ability to navigate a Windows environment, utilize Outlook, and create, edit, save, and send documents using Microsoft Word
7. Driver’s License and access to reliable transportation

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, 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.