RN Field Care Coordinator - Remote in Shelby County, TN Id-3746
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 part of a care management team who will manage a caseload of complex members, the Field Care Coordinator will be the primary care manager for elderly and/or disabled members with complex medical/ behavioral health needs. 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.
This is a home-based position with field responsibilities.
If you are located in Shelby County, TN, or the close surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities
- Serve as primary care manager for elderly and/or disabled members who live in individual housing, community-based housing (ALF or CLS homes) or nursing facilities
- Engage members and/or their families 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
- Active/unrestricted RN License for the state of TN
- 2+ years of experience working within the community health setting or in a health care role
- 1+ years of experience with MS Office, including Word, Excel, and Outlook
- Reliable transportation and live within or commutable distance to Shelby County, Tennessee to meet with members and providers
Preferred Qualifications
- Certified Case Manager (CCM)
- 1+ years of experience with local health providers and/or community support organizations addressing the SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing / rapid re-housing assistance, etc.
- Home Health or Long-Term Care experience
- Case management experience
- Experience in Home Health and/or Long-Term Care
- Experience working in team-based care
- Background in managing populations with complex medical or behavioral needs
- Background in Managed Care
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy