RN Clinical Coordinator - Remote in New Jersey

HSS Clinical Coordinator RN

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As part of a care management team who will manage complex members, the HSS Clinical Coordinator RN will be the primary care manager for a panel of members with complex health needs (i.e., developmental, mental health or substance use disorders). Additionally, this position will provide behavioral health support to the broader team. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.

If you are located within the New Jersey territory and willing to travel up to 10% of your time to assigned territory, you will have the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:

• Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs
• Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs
• Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting the member where they are
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Provide referral and linkage as appropriate and accepted by member (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)

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 New Jersey
• 2+ years of RN experience in a hospital setting, acute care, direct care experience and/or experience as a Case Manager
• 1+ years of paid professional experience working directly with the elderly or physically disabled in an institutional or community setting
• 1+ years of experience in long-term care, home health, hospice, public health or assisted living
• Proven ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word and Excel
• Demonstrated ability to talk and type proficiently at the same time

Preferred Qualifications:

• Bachelor's degree or greater
• Certified Case Manager (CCM)
• Experience with working with DSNP
• Experience working with populations with special needs
• Experience/exposure with discharge planning
• Experience in utilization review, concurrent review and/or risk management
• Experience with government health programs (Medicaid / Medicare)
• Case Management experience
• Background in managed care
• Proven Bilingual - English/Spanish
• Proven solid organizational skills and multitasking abilities

Physical Requirement:

• 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). The hourly pay for this role will range from $40 to $54 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.