HSS Clinical Coordinator RN - New Orleans, LA Market - 2281488

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

Job summary

Join a leading health care company as a Care Manager in New Orleans, where you will manage complex care needs for members. This role involves telephonic engagement, developing care plans, and collaborating with internal teams to ensure effective treatment. You will play a crucial part in improving health outcomes and addressing social determinants of health. The position offers flexibility for remote work and a comprehensive benefits package.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401(k) contributions

Qualifications

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

Responsibilities

• Serve as the primary care manager for members with complex needs.
• Engage members telephonically to complete comprehensive needs assessments.
• Develop and implement person-centered care plans.

Skills

Communication

Problem Solving

Team Collaboration

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. Join us to build a more responsive, affordable, and equitable health care system. Ready to make a difference? Come build the future of health care with us: 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 the primary care manager for members with complex medical and behavioral needs.
2. Engage members telephonically to complete comprehensive needs assessments, including medical, functional, cultural, and socioeconomic (SDOH) domains.
3. Develop and implement person-centered care plans addressing needs such as chronic health management, health promotion, wellness, social determinants of health, and medication management, ensuring safety and adherence to evidence-based guidelines.
4. Identify gaps or barriers in treatment plans.
5. Partner and collaborate with internal care teams, providers, community resources, and leverage expertise to implement care plans.
6. Coordinate care and services as needed (e.g., home health, DME).
7. Provide education and coaching to support member self-management of care needs, including HEDIS/STAR gap closure.
8. Educate members regarding conditions, medications, adherence, provider options, and healthcare system utilization.
9. Help identify the presence or exacerbation of behavioral health symptoms impacting physical health.
10. Provide guidance and consultation to team members regarding physical and behavioral health conditions, best practices, and evidence-based approaches.

You’ll be rewarded and recognized for your performance in an environment that challenges you and provides clear development opportunities for roles you may be interested in.

Required Qualifications:

1. Current, unrestricted LA RN license.
2. 3+ years managing needs of complex populations (e.g., Medicaid).
3. 2+ years of relevant clinical experience.
4. 1+ years of community case management experience for individuals with complex needs.
5. Applied knowledge of Medicaid benefits.
6. Proficiency in navigating a Windows environment, utilizing Outlook, and creating, editing, saving, and sending documents in Microsoft Word.
7. Driver’s license and access to reliable transportation.

*All remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.

The hourly pay range is $28.61 to $56.06, based on full-time employment, local labor markets, experience, certifications, and other factors. We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contributions, subject to eligibility. We are committed to equitable pay and benefits for all employees.

Our mission is to help people live healthier lives and improve the health system for everyone. We are dedicated to addressing health disparities and promoting equitable care, especially for marginalized groups and those with lower incomes.

UnitedHealth Group is an Equal Employment Opportunity employer and a drug-free workplace. Candidates must pass a drug test before employment begins.