HSS Clinical Coordinator RN - New Orleans, LA Market

United Health Group; New Orleans (LA); On-site; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization seeks a Care Manager to support members with complex medical and behavioral needs. Responsibilities include developing care plans, coordinating services, and providing education to members for effective self-management. The role requires an RN license and experience in case management within community settings.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contributions

Equity stock purchase

Qualifications

• 3+ years of experience managing needs of complex populations.
• 2+ years of relevant clinical work experience.
• 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.
• Coordinate care for members and services as needed.

Skills

Managing needs of complex populations

Community case management

Patient education

Navigating Windows environment

Education

Current, unrestricted LA RN license

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 factors including local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all applicable minimum wage laws. In addition to salary, benefits include a comprehensive package, incentive and recognition programs, equity stock purchase, and 401k contributions (eligibility requirements apply). No matter where or when you begin your career with UnitedHealth Group, you'll find a wide range of benefits and incentives.

Our mission is to help people live healthier lives and improve the health system for everyone. We believe everyone deserves the opportunity to live their healthiest life, regardless of race, gender, sexuality, age, location, or income. We are committed to addressing health disparities and promoting equitable care, reflecting our enterprise priority and mission.

UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will receive consideration without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status. We are a drug-free workplace; candidates must pass a drug test before employment.