Remote RN Care Coordinator - Field-Based

Optum

Fayetteville (TN)

Hybrid

USD 40,000 - 72,000

Full time

3 days ago

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Benefits offered by this job

Benefits package

Incentive programs

Stock purchase plan

401k

Job summary

UnitedHealthcare in Tennessee seeks a field-based Care Coordinator (RN) to coordinate complex member care, deliver self-management support, and educate across Medicare/Medicaid needs. You will apply clinical knowledge to ensure access, authorizations, and appropriate services while collaborating with Case Management and Behavioral Health teams.

Based in Giles County or nearby, you may work remotely within commuting distance.

Qualifications

Current RN licensure in the United States.
Minimum 2 years of clinical RN experience.
Minimum 1 year of MS Office experience (Word, Excel, Outlook).
Residence in or commutable distance to Giles County, TN; valid US driver's license; travel up to 75%.

Responsibilities

Apply clinical knowledge to effect efficient case management for Medicare/Medicaid members.
Incorporate evidence-based clinical practices into care coordination activities.
Provide member-centered self-management support and education.
Ensure appropriate utilization and consistent application of health benefits.
Conduct telephonic and face-to-face assessments per policy and timelines.
Serve as member advocate to resolve barriers to care.
Coordinate community resource referrals for members and providers.
Develop and maintain individual care plans based on member needs and collaboration.
Collaborate with Care Coordination Team to improve care quality and efficiency.
Monitor hospital encounters and provide education or interventions to reduce frequency.