Care Coordinator RN - Telecommute in Greater New Orleans area, Southern or Northwest, LA

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Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM

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Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

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The Care Coordinator, as a part of the primary care patient centered medical home team, engages in a collaborative process, which assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet a member's health needs through communication and available resources to promote quality, cost effective outcomes. The Care Coordinator is responsible for ensuring a member's encounter with providers, office staff, and Peoples Health is seamless and comprehensive. The Care Coordinator will review, plan, and coordinate health care services in order to utilize appropriate processes and appropriate resources to improve member's health outcomes.

If you are located in the area of Greater New Orleans area, Southern or Northwest, LA, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Provides patient-centered interventions; such as performing medication and care compliance initiatives, case management, etc.
  • Assesses the total individual, inclusive of medical, psychosocial, behavioral, cultural and/or spiritual needs to develop a plan of care that promotes quality outcomes
  • Interacts with the member and the multidisciplinary team to establish measurable health care goals and prioritization of the member's needs. Monitors the member's adherence to the plan of care
  • Serves as health coach to educate the member, the family and/or caregiver, about disease status and treatment, plan benefits, community resources, and resource options
  • Assists member with scheduling appointments with the primary care provider (PCP), specialists', referrals, follow-up testing and/or office procedures
  • Creates a "fact pack" for the provider by identifying HEDIS/Star measures needed, reviews current and past medication record, and current services being provided
  • Monitors performance against assigned member's gaps in HEDIS and Star measures through weekly report analysis and ensures receipt, review and documentation of test and treatment results
  • Identifies, plans, and documents all follow up to hospital treatment with the interdisciplinary team and primary care physician (PCP). Within seven (7) days following post-hospital discharge, coordinates with other team members, to perform medication reconciliation and alert provider to any issues and/or discrepancies
  • Collaborates in efforts that focus upon moving the individual to self-care when possible

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:
  • Licensed RN, eligible to practice in the State of Louisiana
  • 2+ years of experience in clinical setting
  • Experience with clinical documentation systems
  • Experience in assessing members and developing care plans

Preferred Qualifications:
  • Bachelor's degree in Nursing
  • Case Management or Care Coordination experience
  • Experience in managed care industry setting
  • Disease management, chronic care improvement and/or quality improvement experience in a managed care setting
  • Understanding of HMO and third-party administration
  • Understanding of nursing home and long-term acute care regulations

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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 drugfree workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Care Coordinator RN, RN, Registered Nurse, Care Manager, Care Coordinator, Care Coordination, Case Manager, Case Management, Care Management, Managed Care, Long Term Care, Acute Care, Nursing Home, People's Health, Greater New Orleans area, Southern or Northwest, LA, Louisiana, Work At Home, Remote, Work From Home, Telecommute, Telecommuter, Telecommuting

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