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Field Service Coordinator RN - Moody or Troy, TX

$28.94 - $51.63 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. If you are located in or within commutable driving distance to Moody or Troy, TX, and surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Assess, plan, and implement care strategies that are individualized by patients and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Active RN license in the state of Texas 2+ years of experience working within the community health setting in a health care role Experience in long-term care, home health, hospice, public health or assisted living Valid driver's license, reliable transportation, and the ability to travel up to 75% in assigned regions to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices Reside in or within commutable driving distance to Moody or Troy, TX Preferred Qualifications Bachelor's Degree Certified Case Manager (CCM) 5+ years of experience working with MS Word, Excel and Outlook 5+ years of experience documenting in an electronic documentation system Experience with electronic charting Case management experience A background in managing populations with complex medical or behavioral needs Reside in zip codes: 76557 or 76579 All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Field Service Coordinator RN - McKinney and Prosper, TX

UnitedHealthcare McKinney, TX

$28.94 - $51.63 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This is a Field Based role with a Home-Based office. If you are located in or within commutable driving distance to McKinney and Prosper, TX area, you will have the flexibility to work remotely* as you take on some tough challenges Primary Responsibilities Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current Registered Nurse unrestricted license in the state of Texas (no compact license) 2+ years of experience working within in a healthcare role Intermediate level of proficiency with Microsoft Office, including Word, Excel, and Outlook Valid driver's license, access to reliable transportation, ability to travel up to 75% in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' office Reside in or within commutable driving distance to McKinney and Prosper, TX Preferred Qualifications 2+ years of experience working within the community health setting 1+ years of experience with long term care services and support, Medicaid or Medicare Ability to create, edit, save and send documents, spreadsheets and emails Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Field Care Coordinator, Remote in New Mexico

UnitedHealthcare Deming, NM

$28.94 - $51.63 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8 - hour shift schedules during our normal business hours of 8am to 5pm. It may be necessary, given the business need, to work occasional overtime. This position is a field - based position with a home - based office. If you reside in or within commutable driving distance to Deming, Columbus, Silver City, or Las Cruces, New Mexico, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs 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 Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Ability to transition from office to field locations multiple times per day Ability to navigate multiple locations/terrains to visit employees, members and/or providers Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.) Ability to remain stationary for long periods of time to complete computer or tablet work duties You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Meet one of the following: Bachelor's degree OR 2+ years of relevant health care experience 2-year degree or higher with 3+ years of clinical experience Current, unrestricted independent licensure as a Registered Nurse OR a Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Professional Clinical Mental Health Counselor, or Licensed Mental Health Counselor (LMHC) with 3 years of clinical experience LPN with 3+ years of clinical experience 5+ years of relevant experience, including 3 years of clinical experience 4+ years of experience in a clinical environment (including 1+ years of experience as a Care Coordinator) 1+ years of experience with MS Office, including Word, Excel, and Outlook Driver's license and reliable transportation and the ability to travel up to 50% of the time within assigned territory to meet with members and providers Designated workspace inside the home with access to high - speed internet availability Reside in or within commutable driving distance to Deming, Columbus, Silver City, or Las Cruces, NM or within commutable driving distance Preferred Qualifications CCM certification 1+ years of community case management experience coordinating care for individuals with complex needs Experience working in team-based care Background in Managed Care Reside in Deming, NM All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

HSS Manager, RN - Remote in NE Dallas, TX

UnitedHealthcare Dallas, TX

$91,700 - $163,700 / year

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The Health and Social Services Manager will manage a team of Registered Nurses that supports care of members within the community by completing Face to Face visit assessments and telephonic member care coordination. This is a remote role with the possibility of minimal travel within an assigned territory. If you reside in or within commutable driving to Tarrant County, TX, and surrounding areas, this would be a great opportunity. If you are located in or within commutable driving distance to NE Dallas, TX, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Supports clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating) Engages in case management and coordination of care, supporting RN Nurse Care Coordinator team members in the field Takes lead role in setting direction and participating in or developing new programs Sets team direction, resolves problems, and provides guidance to members of the team Ensure team meets established performance metrics and contractual obligation Adapts departmental plans and priorities to address business and operational challenges Plans, organizes, and oversees RN Nurse Care Coordinator to ensure timely completion of assessments, documentation, and task Oversees the department's daily staffing requirements to meet program standards Implements organizational policies and procedures, reviews work of RN Nurse Care Coordinator to ensure policies and guidelines are appropriately applied Other duties as assigned to support team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current, unrestricted RN license in the State of Texas 3+ years of management experience in healthcare OR 3+ years of experience as a Field Service Coordinator/ Care Coordinator 1+ years of experience with long term care services and support (LTSS) 1+ years of Medicare and / or Medicaid experience Intermediate MS office including Word, Excel, and Outlook with proficient ability to navigate in a Windows environment Reside in or within commutable driving distance from the Dallas, TX Valid driver's license, access to reliable transportation, and the ability to travel up to 25% within assigned territory as needed Preferred Qualifications BSN Certified Case Manager (CCM) 5+ years of experience in a nursing facility setting, or hospital setting, or case management, or home health care or clinical experience in acute / rehab, HCBS / Level-1 field service coordination Case Management experience Experience in forming and establishing relationships with state partners Background in managed care - experience working with vulnerable populations who have chronic or complex bio psychosocial needs Bilingual skills Reside in Dallas, TX area All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Field Care Coordinator - Emporia, VA Market

UnitedHealthcare Emporia, VA

$23.89 - $42.69 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Field Care Coordinator is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports. The Field Care Coordinator collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Field Care Coordinator will be traveling into enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Field Care Coordinator actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. Field Care Coordinators act as liaison between the Health Plan, the Commonwealth, enrollees, and their families. Field Care Coordinators follow established professional standards of care, Commonwealth guidelines and policy and procedures. This is a field-based position covering travel territory based in Emporia, Lawrenceville and South Hill, VA. Primary Responsibilities Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs 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 Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) AND a 4-year degree 3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers Driver's license and access to reliable transportation and the ability to travel within assigned territory to meet with members and providers Preferred Qualifications CCM certification Experience working with Medicaid / Medicare population Experience working in team-based care Long term care / geriatric experience Background in Managed Care All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

HSS Clinical Coordinator RN - Field Based in Edinburg, McAllen, and Mission areas, TX

UnitedHealthcare Edinburg, TX

$28.94 - $51.83 / hour

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 in or within commutable driving distance to McAllen, Edinburg or Mission areas, TX you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current unrestricted RN license in the state of TX 2+ years of experience working within the community health setting or in a health care role Intermediate level of proficiency with Microsoft Office, including Word, Excel, and Outlook High-speed internet at residence Ability to travel in this 'assigned region' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices Access to reliable transportation and valid US driver's license Preferred Qualifications 1+ years of experience with long-term care services and support, Medicaid or Medicare Ability to create, edit, save and send documents, spreadsheets and emails Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations Reside within commutable distance of assigned duties Bilingual in English and Spanish All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RED, #RPO

Health & Social Services RN - Remote in Michigan

UnitedHealthcare Southfield, MI

$28.94 - $51.83 / hour

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. In this autonomous Health and Social Services Coordinator role, you will be an essential element of an Integrated Care Model by relaying pertinent information about member needs and advocating for the best possible care available, and ensuring the members have the right services to meet their individualized needs. If you are located in the state of Michigan , you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities Analyze, assess, plan and implement care strategies that are adapted to the patient and directed toward the most appropriate, least restrictive level of care Actively identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Act as a champion of member care plans throughout the continuum of care and act as a single point of contact Confidently communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Courageously advocate for patients and families to ensure the patient's needs and choices are fully represented and supported by the health care team Assess members' current health status by making outbound calls and receiving inbound calls Recognize gaps or barriers in treatment plans Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Registered Nurse license in the state of MI 4+ years of clinical experience/community health in a healthcare setting 2+ years of Case Management experience 2+ years of Medicaid experience 1+ years of experience working with MS Word, Excel and Outlook Must reside in the state of Michigan Preferred Qualifications Certified Case Manager (CCM) Experience working with the needs of vulnerable populations who have chronic or complex conditions Experience with electronic charting Experience with arranging community resources Medicare experience Experience or exposure to discharge planning Experience in utilization review, concurrent review or risk management Background in managing populations with complex medical or behavioral needs Acute care experience All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Clinical Quality RN - Remote MST

UnitedHealthcare Phoenix, AZ

$60,200 - $107,400 / year

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. The Clinical Quality RN will be responsible for conducting quality of care (QOC) investigation, review and management of the regulatory Incident/Accident/Death (IAD) portal, documenting and communicating findings from these reviews, and preparing reports or summaries for internal and external customers. This position collaborates with the Chief Medical Officer or other Medical Directors to review QOC and other investigations and ensures that QOC investigations comply with all applicable State, Federal, and regulatory requirements. These activities are used to ensure care and services provided to our members are timely, adequate, and compliant with regulatory and professional standards and guidelines. If you are willing to work 8:00am - 5:00pm Mountain Standard Time zone, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Perform clinical documentation review of inpatient and outpatient care delivered to adults and children with Medicaid, Medicare health care benefits through Arizona United Health Care Community Plans for peer review and internal investigations of Quality of Care concerns Create professionally written case investigation summaries for Peer Review, present case summaries at the Provider Advisory Committee as applicable Review plans of correction from providers in response to a substantiated QOC occurrence Effectively interface with external customers, facilities, members and providers to resolve quality of care concerns, obtain medical records and other information Conduct delegated oversight reviews of contractors that perform work on behalf of UnitedHealthcare. This includes reviewing samples of contractor work against an audit tool or information found in medical charts Collaborate internally with Medical Directors and staff in other UHCCP departments Manage multiple tasks and projects and changing priorities; prioritize work products effectively Maintain timeliness for deliverables and regulator requests Be able to work independently, good critical thinking skills, excellent verbal and written communication skills You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Active, unrestricted RN license in the state of Arizona or compact license 5+ years of experience working as a Registered Nurse 2+ years of hospital experience as a Registered Nurse Experience evaluating and auditing medical records Demonstrated intermediate skills in Microsoft Office, Word, and Excel ability to work with multiple databases to retrieve and enter information Demonstrated excellent writing skills - ability to analyze information and prepare written summaries Willingness to work a shift of 8am - 5pm Mountain Standard Time Preferred Qualifications 1+ years of experience in quality management and clinical quality investigations, or equivalent experience Proven knowledge of Medicare/Medicaid regulations Demonstrated solid understanding of quality improvement principles and practices Experience working in a deadline driven environment prioritizing responsibilities Experience in Behavioral Health Services All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Clinical Grievances RN - Remote in PST

UnitedHealthcare Phoenix, AZ

$28.94 - $51.63 / hour

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. As a Clinical Grievances Nurse, you will be responsible for reviewing incoming retrospective cases to determine if the appropriate care was given along with current cases to ensure the members immediate needs are being addressed. In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. If you are able to work PST hours, you'll enjoy the flexibility to work remotely* from anywhere in the U.S. as you take on some tough challenges. The working hours for this role are Monday - Friday, 8 am - 5pm PST or CST (Whichever time zone you are within). Primary Responsibilities Perform clinical assessment of healthcare services provided to our members for appropriateness Understand relevant state and federal grievance and peer review requirements and accreditation standards applicable for processes supported Receives cases from the QIS non- clinical team and reviews them against required clinical information, assessing for appropriateness and consulting with a Medical Director Document relevant chronology of case review and provide rationale for severity level, descriptor codes, and any applicable Improvement Action Plan (IAP) implemented Facilitate telephonic discussion with health care providers and/or members to obtain additional clinical information Provide timely, quality service to members and providers while upholding UnitedHealthcare culture values Act as a resource for others with less experience Work independently and collaborating with Medical Directors and non-clinical partners Function as a member of a self-directed team to meet specific individual and team performance metrics Manage and maintain quality and productivity metrics You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current, unrestricted RN license in the state of residency 3+ years of total RN experience including recent clinical experience in an inpatient / acute setting or similar setting Demonstrated clinical documentation skills and critical thinking skills Demonstrated proficiency in computer skills - Windows, Instant Messaging, Clinical Platforms, Microsoft Suite including Word, Excel, and Outlook Designated workspace and access to install secure high speed internet via cable / DSL in home Reside in and work 8 am-5 pm in Central or Pacific Standard time zone Preferred Qualifications Bachelor's in Nursing or higher Experience with Managed Care Clinical Quality Programs Case management experience Clinical appeals and grievances experience Audit / chart review experience Experience in a telecommuting role Ability to effectively utilize UHG applications, including but not limited to authorization applications, auto correspondence, and member & provider demographic systems Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, 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.

HSS Care Coordinator, RN - Healthy First Steps, Remote in TX

UnitedHealthcare Houston, TX

$28.94 - $51.83 / hour

REMOTE IN TEXAS 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. You push yourself to reach higher and go further. Because for you, it's all about ensuring a positive outcome for patients. In this role, you'll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you'll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients. In this Health and Social Services Coordinator role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member's needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. Work Schedule: Monday - Friday, 8am - 5pm CST If you are located in Texas, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current RN unrestricted license in the State of TX 4+ years of experience working within the community health setting in a health care role 2+ years or equivalent of experience working with Maternal and Infant population such as Mother/Baby, Labor and Delivery, or Neonatal Intensive care Unit Must reside in the state of Texas Preferred Qualifications 5+ years of experience documenting in an electronic documentation system 5+ years of experience working with MS Word, Excel and Outlook Case Management experience including but not limited to working with Special Health Care Needs Populations, Complex medical conditions Pediatrics Certified Case Manager (CCM) Experience in discharge planning Experience in utilization review, concurrent review or risk management Experience with arranging community resources Background in managing populations with complex medical or behavioral needs All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Senior Network Pricing Consultant - Remote CST/EST preferred

UnitedHealthcare Eden Prairie, MN

$91,700 - $163,700 / year

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Own and maintain Out of Network and hospital based physician pricing models, ensuring accuracy, consistency, and compliance with Federal No Surprises Act and state Surprise Medical Bill regulations Apply deep knowledge of OON and surprise billing programs to support pricing strategy and dispute resolution initiatives Perform complex financial and pricing analyses to evaluate reimbursement strategies and network configurations across hospital, ancillary, and physician provider types Develop, enhance, and maintain analytical and financial models, including SQL based reporting and advanced Excel formulas/macros Independently produce ad hoc analyses and customized reports to support enterprise and pricing needs, including provider terminations Partner cross functionally to prepare insights, research, and data driven talking points that inform pricing and network strategy decisions Serve as a subject matter expert for network pricing, confidently presenting findings, resolving model issues, and translating complex analysis into concise recommendations for leadership You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Bachelor's degree or equivalent relevant work experience 5+ years of experience in healthcare pricing, financial analysis, network pricing, or healthcare economics Experience developing and interpreting financial and pricing models to support contract valuation and network strategy Advanced Excel skills with demonstrated ability to analyze large, complex datasets efficiently Working experience with SQL to support ad hoc analysis and reporting Solid communication skills with experience presenting complex analytical findings to stakeholders Proven ability to manage multiple priorities and deliver results in a fast paced environment Ability to work Central or Eastern Time Zone hours Preferred Qualifications Experience with provider payment methodologies, including physician, hospital, and ancillary reimbursement Experience with PPM (Physician Pricing Model) and UCRT (Unit Cost Reporting Tool) Experience leveraging enterprise approved automation or AI tools to improve efficiency in analytical workflows Knowledge of Out of Network pricing, surprise billing regulations, and medical coding (e.g., CPT, DRG, ICD 10) Proficiency with advanced data modeling tools (e.g., Power Pivot, data models, large databases) Solid consultative, problem solving, and cross functional collaboration skills All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

RN

Full-time

1 month ago

Field Service Coordinator RN - Waco, TX

UnitedHealthcare Waco, TX

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This is a Field Based role with a Home-Based office. If you are located in or within commutable driving distance to Waco, TX and surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current Registered Nurse unrestricted license in the state of Texas (no compact license) 2+ years of experience working within in a healthcare role Intermediate level of proficiency with Microsoft Office, including Word, Excel, and Outlook Valid driver's license, access to reliable transportation, ability to travel up to 75% in Travis County SDA to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' office Reside in or within commutable driving distance to Waco, TX Preferred Qualifications 2+ years of experience working within the community health setting 1+ years of experience with long term care services and support, Medicaid or Medicare Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations Demonstrated ability to create, edit, save and send documents, spreadsheets and emails Reside in Waco, TX All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employme nt.

RN Care Manager- Field based in Forsyth County, NC

UnitedHealthcare Winston-Salem, NC

$28.94 - $51.63 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. In this Care Manager role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. We offer our established staff the option to work 4 10-hour days (7 am-6pm) in lieu of the traditional eight hour five/day week schedule. *After employee has demonstrated competency with the role and are able to meet metrics, etc. Additionally, there is no "on-call" or weekend requirements. If you are in Forsyth County North Carolina, you will have the flexibility to be field based as you take on some tough challenges. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Primary Responsibilities Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for both healthcare and community-based services; including but not limited to financial, psychosocial, community and state supportive services Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current, unrestricted independent licensure as a Registered Nurse 2+ years of clinical experience 1+ years of experience with MS Office, including Word, Excel, and Outlook Driver's License and access to reliable transportation and the ability to travel up to 75% of the time within assigned territory to meet with members and providers Reside in North Carolina Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Preferred Qualifications BSN, Master's Degree or Higher in clinical field CCM certification 1+ years of community case management experience coordinating care for individuals with complex needs Experience working in team-based care Demonstrated background in Managed Care Physical Requirements Ability to transition from office to field locations multiple times per day Ability to navigate multiple locations/terrains to visit employees, members, and/or providers Ability to transport equipment to and from field locations needed for visits (ex. laptop, etc.) Ability to remain stationary for long periods of time to complete computer or tablet work duties Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. #uhcpj 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

RN

Full-time

1 month ago

Field Based HSS Clinical Coordinator RN - Tyler, TX (Smith County)

UnitedHealthcare Tyler, TX

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. This position will cover Tyler, TX (Smith County). Schedule: Monday - Friday, 8am - 5pm CST This is a Field Based role with a Home-Based office and 75% travel. If you reside in Tyler, TX (Smith County), you'll enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current unrestricted RN license in the state of Texas 2+ years of experience working within the community health setting or in a health care role Familiarity with Microsoft Office, including Word, Excel, and Outlook High-speed internet at residence Ability to travel in this 'assigned region' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices Access to reliable transportation and valid US driver's license Preferred Qualifications 1+ years of experience with long-term care services and support, Medicaid or Medicare Ability to create, edit, save and send documents, spreadsheets and emails Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations. Reside within commutable distance of assigned duties All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

Field HSS Clinical Coordinator RN - Maternity - Wyandotte County, KS & Surrounding Areas

UnitedHealthcare Kansas City, KS

$28.94 - $51.83 / hour

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. As the RN Case Manager for Maternity and/or NICU, you will have a panel of members with high-risk pregnancies and/or NICU babies with complex medical/behavioral needs. You will provide support and address barriers to care and SDOH with the goal to improve health outcomes. To promote healthy pregnancy, delivery, and postpartum outcomes for both mother and baby, it is essential to provide evidence-based, trimester-specific, and postpartum education. This includes assistance in developing a birth plan, accessing value-added benefits, and understanding covered services, including Medicaid postpartum coverage. Additionally, support should be given for accessing contraceptive care based on family planning needs, conducting mental health and substance use disorder (SUD) screenings with referrals to treatment when necessary, and coordinating with obstetric and other providers for appointment assistance, communication, and advocacy. This is a Field-Based Role with a Home-Based Office. If you reside within the Wyandotte County, KS or surrounding areas, you will have the flexibility to work in both the field as well as telecommute* as you take on some tough challenges. Primary Responsibilities Provide evidenced based trimester specific and postpartum education to promote a healthy pregnancy, delivery, and postpartum outcomes for mother and baby Collaborate with your team, the member, their family/support group, and healthcare providers Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan Help member set goals and develop a care plan to achieve those goals Adhere to detailed, specific documentation requirements in the member's health record Proactivity engages the member to manage their own health and healthcare Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services and mental health and substance use treatment Perform outreach to providers, hospitals, Members and clinics Attending community events Able and willing to travel within the assigned region per the business needs Utilize solid skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines Performs all other duties assigned What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current, unrestricted independent licensure as a Registered Nurse in Kansas Must have resided within the local community for 2+ years 2+ years of experience working within the maternal and child health population Intermediate level of proficiency MS Office, including Word, Excel, and Outlook Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Must be able to comply with UHG Telecommuting Policy and have a designated workspace inside the home with access to high-speed internet availability Ability to travel up to 75% of time in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices Access to reliable transportation & valid US driver's license Preferred Qualifications Case Management experience Experience with electronic charting Background in Managed Care Knowledge of the culture and values of community Bilingual (Spanish) All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

Field Care Coordinator (HIDE SNP) - Wayne and Macomb County, MI and Surrounding

UnitedHealthcare Detroit, MI

$28.94 - $51.83 / hour

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. The Field Care Coordinator- HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community. This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs. If you reside in or near Wayne and Macomb County, MI or surrounding area , you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care Identifies problems/barriers to care and provide appropriate care management interventions Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate Manage the person-centered service/support plan throughout the continuum of care Conduct home visits in coordination with the person and care team Conduct in-person visits, which may include nursing homes, assisted living, hospital or home Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Must possess one of the following Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW) Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW) 2+ years of experience working within the community health setting in a health care role 1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.) 1+ years of experience working with persons with long-term care needs and/or home and community-based services 1+ year experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word) Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Ability to travel to Southfield, MI office for quarterly team meetings Must reside within the state of Michigan Preferred Qualifications RN or LMSW; LCSW, LLMSW 1+ years of medical case management experience Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders) Experience with MI Health Link (MMP) Experience working in Managed Care Working knowledge of NCQA documentation standards All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

Field Care Coordinator - Norfolk, VA

UnitedHealthcare Norfolk, VA

$23.89 - $42.69 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together This is a field-based position with a home-based office. You must reside within a commutable distance of the Norfolk, VA Markets for consideration. The Field Care Coordinator is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports. The Field Care Coordinator collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Field Care Coordinator will be traveling into enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Field Care Coordinator actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. Field Care Coordinators act as liaison between the Health Plan, the Commonwealth, enrollees, and their families. Field Care Coordinators follow established professional standards of care, Commonwealth guidelines and policy and procedures. If you are located in commutable distance of the Tidewater, VA area, you will have the flexibility to work remotely* as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs 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 Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree 3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers Driver's license and reliable transportation and the ability to travel within assigned territory to meet with members and providers Preferred Qualifications CCM certification Experience working with Medicaid / Medicare population Experience working in team-based care Long term care / geriatric experience Background in Managed Care All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Medical Assistant at Peoples Health - Slidell

UnitedHealthcare Slidell, LA

$16.15 - $28.80 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Medical Assistant supports providers by delivering high quality, patient centered clinical care in a service center setting. This role assists with provider orders, patient intake, vital signs, and clinical procedures while ensuring compliance with safety, regulatory, and organizational standards. The Medical Assistant works collaboratively as part of the care team to support efficient clinic operations and a positive patient experience. Primary Responsibilities Collect and document patient information, including vital signs, medical history, medications, and allergies Assist providers with examinations, treatments, injections, and clinical procedures as directed Prepare patients for visits, support pre visit and follow up care, and coordinate preventive care activities Educate patients on basic self care, procedures, and follow up instructions using clear, understandable language Maintain and prepare exam rooms, equipment, and supplies; ensure proper functioning of clinical equipment Support patient safety initiatives and comply with infection control, HIPAA, and scope of practice guidelines Utilize electronic health records (EHR/EMR) and scheduling systems to document care accurately and timely Communicate effectively with providers, care team members, and patients regarding clinical needs and concerns Participate in emergency and crisis response procedures as required Core Competencies Patient care and care coordination Clinical documentation and compliance Communication and teamwork Time management and organization Adaptability in a fast paced healthcare environment Values & Behaviors Acts with integrity and complies with applicable laws and policies Demonstrates compassion and a strong focus on patient experience Collaborates effectively and communicates clearly with diverse teams Supports innovation and adapts to change Delivers high quality, detail oriented work with sound judgment You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications High school diploma or equivalent Current BLS certification at time of hire or within 30 days of hire 1+ years of Medical Assistant experience Knowledge of medical terminology and basic clinical procedures Intermediate proficiency in Microsoft Word, Excel, and Outlook Valid driver's license within the state of work and access to reliable transportation Ability to travel locally about 25% of the time to various clinics as assigned Preferred Qualifications Current Medical Assistant Certification (CMA or equivalent) Experience working in a clinical or ambulatory care setting Familiarity with electronic medical record systems Other duties and responsibilities may be assigned as needed to meet business and patient care needs. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.15 to $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Field Service Coordinator RN - Tarrant County

UnitedHealthcare Fort Worth, TX

$28.94 - $51.63 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This is a Field Based role with a Home-Based office. If you are located in or within commutable driving distance to Tarrant County, TX area, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current Registered Nurse unrestricted license in the state of Texas (no compact license) 2+ years of experience working within in a healthcare role Intermediate level of proficiency with Microsoft Office, including Word, Excel, and Outlook Valid driver's license, access to reliable transportation, ability to travel up to 75% in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' office Reside in or within commutable driving distance to Tarrant County, TX Preferred Qualifications 2+ years of experience working within the community health setting 1+ years of experience with long term care services and support, Medicaid or Medicare Ability to create, edit, save and send documents, spreadsheets and emails Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

LPN at Primary Care Plus - Slidell, LA

UnitedHealthcare Slidell, LA

$20.38 - $36.44 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an active participant in the primary care clinic, the LPN engages in a collaborative process with members of a multidisciplinary team, which may include a physician, nurse practitioner, clinic care manager, social worker, clinic manager, medical assistant, and patient care coordinator. The team assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet a patient's health needs through communication and utilization of available resources to promote efficient, high-quality outcomes. The LPN provides quality nursing care to patients, supports the providers for whom they work, delegates tasks to clinic medical assistants, and oversees health, safety, and quality efforts within the clinic setting. The LPN collaborates with the primary care provider and other members of the care team by providing routine nursing care and patient education to ensure that patient needs are met. In addition, the LPN oversees efforts within the clinic to promote quality, safety, and efficiency. Primary Responsibilities As part of a multidisciplinary care team, the clinic LPN will: Provide direct nursing care in collaboration with an ordering provider, within the scope of LPN licensure Utilize clinical decision-making to execute standing orders to meet patient needs and improve clinic efficiency Evaluate communication from patients via telephone and portal messages to determine priority, escalate urgent needs to the appropriate member of the care team, and assign routine communications to medical assistants Delegate appropriate responsibilities to medical assistants to promote patient safety while improving efficiency Serve as a clinical resource to medical assistants and provide education to non-licensed clinical staff Assist with complex procedures Act as a liaison between clinic providers and unlicensed staff to promote collaboration and understanding Manage patient medication refill requests Oversee clinical health and safety efforts, including but not limited to laboratory quality control monitoring, medication storage and administration, and infection control initiatives Assist with the ordering and receiving of medical supplies and medications as needed Demonstrate leadership and accountability to support a safe, high-quality workplace culture Perform clinic and administrative tasks as directed by the clinic manager Core Competencies Excellent communication skills Critical thinking and sound judgment Ability to multi-task and prioritize Professionalism Dependability Understanding of the nursing process Ability to manage time effectively Ability to work well with a diverse group of people Ability to prioritize Ability to delegate You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current LPN License Current CPR certification Experience in the healthcare industry - clinical experience Computer experience Thorough knowledge of Regulatory Activities to include OSHA /HIPAA compliance Preferred Qualifications EMR training Physical Demands /Working Conditions Ability to stand for long periods Extensive walking Must be able to lift up to 20 pounds Ability to bend and sit Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Field Care Coordinator (HIDE SNP) - Wayne County, MI and Surrounding

UnitedHealthcare Detroit, MI

$28.94 - $51.83 / hour

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. The Field Care Coordinator- HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community. This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs. If you reside in or near Wayne County, MI or surrounding area , you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care Identifies problems/barriers to care and provide appropriate care management interventions Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate Manage the person-centered service/support plan throughout the continuum of care Conduct home visits in coordination with the person and care team Conduct in-person visits, which may include nursing homes, assisted living, hospital or home Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Must possess one of the following Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW) Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW) 2+ years of experience working within the community health setting in a health care role 1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.) 1+ years of experience working with persons with long-term care needs and/or home and community-based services 1+ years of experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word) Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Ability to travel to Southfield, MI office for quarterly team meetings Must reside within the state of Michigan Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs Preferred Qualifications RN or LMSW; LCSW, LLMSW 1+ years of medical case management experience Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders) Experience with MI Health Link (MMP) Experience working in Managed Care Working knowledge of NCQA documentation standards All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

Long-Term Services and Supports (LTSS) Care Coordinator RN - Montgomery and Wilson Counties

UnitedHealthcare Coffeyville, KS

$28.94 - $51.83 / hour

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. The Long-Term Services and Supports (LTSS) Care Coordinator RN is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, addressing social determinants of health and integration into community. This position is a Field-Based position with a Home-Based office. Expected travelling 3-5 days per week within 30-60-mile radius. The counties covered by this position are Montgomery and Wilson County. If you reside locally to or within 30 miles of one of these counties, KS or surrounding area, you'll enjoy the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the person-centered service/support plan throughout the continuum of care Communicate with all stakeholders the required health related information to ensure quality coordinated care and services are provided expeditiously to all persons Advocate for persons and families as needed to ensure the persons needs and choices are fully represented and supported by the health care team Conduct home visits in coordination with person and care team, which may include a community service coordinator Conduct in-person visits which may include nursing homes, assisted living, hospital or home Serve as a resource for community care coordinator, if applicable You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current, unrestricted independent licensure as a Registered Nurse in Kansas 2+ years of experience working within the community health setting in a health care role 1+ years of experience working with persons with long-term care needs 1+ years of experience working with persons receiving services on one of the homes and community-based waivers in KS 1+ years of experience working with MS Word, Excel and Outlook Ability to travel in assigned regions to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices Must reside in or within 30 miles of one of the following: Montgomery and Wilson Counties Access to reliable transportation and valid US driver's license Preferred Qualifications Background in managing populations with complex medical or behavioral needs Experience with electronic charting Experience with arranging community resources All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

Field Based HSS Clinical Coordinator RN - Miami, Linn, Franklin, and Anderson Counties

UnitedHealthcare Paola, KS

$28.94 - $51.83 / hour

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. The Long-Term Services and Supports (LTSS) Care Coordinator RN is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, addressing social determinants of health and integration into community. This position is a Field-Based position with a Home-Based office. Expected travelling 3-5 days per week within 30-60-mile radius. The counties covered by this position are Miami, Linn, Franklin, and Anderson Counties . If you reside locally to or within 30 miles of one of these counties, KS or surrounding area, you'll enjoy the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the person-centered service/support plan throughout the continuum of care Communicate with all stakeholders the required health related information to ensure quality coordinated care and services are provided expeditiously to all persons Advocate for persons and families as needed to ensure the persons needs and choices are fully represented and supported by the health care team Conduct home visits in coordination with person and care team, which may include a community service coordinator Conduct in-person visits which may include nursing homes, assisted living, hospital or home Serve as a resource for community care coordinator, if applicable You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current, unrestricted independent licensure as a Registered Nurse in Kansas 2+ years of experience working within the community health setting in a health care role 1+ years of experience working with persons with long-term care needs 1+ years of experience working with persons receiving services on one of the homes and community-based waivers in KS 1+ years of experience working with MS Word, Excel and Outlook Ability to travel in assigned regions to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices Must reside in or within 30 miles of one of the following: Miami, Linn, Franklin, and Anderson Counties Access to reliable transportation and valid US driver's license Preferred Qualifications Background in managing populations with complex medical or behavioral needs Experience with electronic charting Experience with arranging community resources All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

Behavioral Health Sr Clinical Admin Nurse RN

UnitedHealthcare Phoenix, AZ

$60,200 - $107,400 / year

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Administrative Nurse is an outreach‑intensive role in which the nurse spends approximately 90% of the workday on the phone attempting engagement with membership. Using clinical expertise, the nurse conducts structured outreach to engage members, assess needs, and introduce available clinical services in support of organizational engagement goals. In addition to outbound outreach, the role supports members and their covered families with health care system navigation and care coordination. Acting as a clinical liaison, the nurse collaborates with members, caregivers, medical providers, and internal and external clinical teams to facilitate coordinated, efficient care using a clinically informed and operationally driven approach. Success in this role requires comfort spending most of the workday on the phone, sustained outbound calling, efficiency in member engagement, and the ability to balance clinical assessment with operational productivity expectations. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Provide members with tools and educational support to navigate the health care system and manage health concerns effectively and cost efficiently Assist members with adverse determinations, including support through the appeals process Educate members on the use of UMR internet based wellness tools and resources Educate and guide members regarding behavioral health and substance use disorder (BHSUD) services Provide ER steerage and education on appropriate emergency department utilization and alternative levels of care Conduct outreach to members to provide pre admission counseling Conduct outreach to members and caregivers to support discharge planning Track all activities and maintain complete documentation to support customer reporting Accept referrals through designated processes; collaborate in evaluating available services and coordinate required medical care and community referrals Comply with all policies, procedures, and documentation standards across applicable systems, tracking mechanisms, and databases Contribute to treatment plan discussions Perform other duties as assigned Candidate must be willing to work weekdays 11:00 am - 8:00 PM CST, including Saturdays 8:00 am - 5:00 PM CST You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current and unrestricted RN compact license Ability to obtain additional state licensure as needed 2+ years of acute nursing experience 2+ years of behavioral health nursing experience Basic computer proficiency (ie MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications Bachelor's degree in nursing 2+ years of case management experience Telephonic nursing experience CCM 2+ years managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse Determination experience Telecommute experience Soft Skills Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

RN Clinical Coordinator - Field Based in Passaic and Surrounding Counties - NJ

UnitedHealthcare Paterson, NJ

$40 - $54 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. Expect to spend about 80% of your time in the field visiting our members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Do you live or are you willing to travel to any of the following counties? Passaic and surrounding counties, NJ Primary Responsibilities Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs 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 Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current, unrestricted independent licensure as a Registered Nurse in New Jersey 2+ years of clinical experience 1+ years of experience with MS Office, including Word, Excel, and Outlook Access to reliable transportation and the ability to travel up to 80% of your time within assigned territory to meet with members and providers Preferred Qualifications BSN, Master's degree or higher in clinical field CCM certification 1+ years of community case management experience coordinating care for individuals with complex needs Experience working in team-based care Background in managed care Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $40.00 to $54.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.