About the position

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 RN Field Clinical Care Coordinator, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the members’ needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. If you reside within the Braintree, Weymouth, Quincy, MA market and surrounding areas, you will have the flexibility to work telecommute as you take on some tough challenges. This is a Field-based role. Expect to spend at least 50%25 of your time in the field visiting our members in their home. You’ll need to be flexible, adaptable and, above all, patient in all types of situations.

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
• 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
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members

Requirements

• Current and unrestricted independent licensure as a Registered Nurse in the state of MA
• 2+ years of clinical experience
• Intermediate level of proficiency with 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)
• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Ability to travel in assigned regions to visit members in their homes and/or other settings, including community centers, hospitals or providers' offices
• Access to reliable transportation & valid US driver's license

Nice-to-haves

• Bachelor’s or master’s degree in nursing
• Certified Care Manager (CCM)
• 1+ years of community case management experience coordinating care for individuals with complex needs
• Experience working in team-based care
• Background in Managed Care
• Ability to utilize an Electronic Medical Record or other electronic platforms
• Bilingual in Cantonese, Mandarin, and Vietnamese

Benefits

• 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.)