Remote-Eligible Field RN Care Coordinator (Medicare/Medicaid)

UHC; Chattanooga (TN); Hybride; USD 40 000 - 72 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits

Incentive programs

Résumé du poste

UnitedHealth Group's Tennessee Care Coordination team seeks a registered nurse to coordinate care for medically complex members across acute, home, and community settings. Emphasizing evidence-based practice and timely documentation, the role supports member access to services and providers.

You’ll collaborate with Case Management, Utilization Review, and Behavioral Health teams in a field-based capacity with potential remote work; travel up to 75% within the territory.

Qualifications

• Current Nursing License (RN)
• 2+ years of clinical RN experience
• 1+ years MS Office (Word/Excel/Outlook) experience
• Excellent organization, communication and time management
• Reside in or near Hamilton County
• Able to travel up to 75% within assigned territory

Responsabilités

• Coordinate care for medically complex members across the continuum
• Incorporate evidence-based clinical practices into care coordination
• Deliver member-centered, self-management support and education
• Ensure appropriate utilization of health benefits
• Conduct telephonic and in-person assessments per policy and timelines
• Serve as member advocate to resolve barriers to care
• Educate on community resources and referrals
• Develop and monitor individualized care plans
• Collaborate with Care Coordination team to improve care quality and efficiency
• Monitor hospital encounters and intervene to reduce frequency
• Refer decisions beyond authority to manager for review
• Participate in Health Plan Quality Improvement processes
• Use Health Plan software to document service delivery
• Maintain time-sensitive regulatory documentation
• Coordinate services per Health Plan policy
• Perform other duties as assigned

Connaissances

RN license

Clinical RN experience

MS Office

Time management

Travel ability

Formation

BSN

CCM certification

Master's in Clinical Field

Description du poste

UnitedHealth Group's Tennessee Care Coordination team seeks a registered nurse to coordinate care for medically complex members across acute, home, and community settings. Emphasizing evidence-based practice and timely documentation, the role supports member access to services and providers.

You’ll collaborate with Case Management, Utilization Review, and Behavioral Health teams in a field-based capacity with potential remote work; travel up to 75% within the territory.