1+ months

RN - Health & Social Services Clinical Coordinator - Harris County, Texas - 922078

Houston, TX 77002
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  • Job Code
    922078

This role is temporarily remote. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future.

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Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM

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You push yourself to reach higher and go further. Because for you, its all about ensuring a positive outcome for patients. In this role, youll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, youll 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.

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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 (8:00am-5:00pm). It may be necessary, given the business need, to work occasional overtime. This is a remote position but you must reside in Harris County, Texas.

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In this RN -Health & Social Services Clinical Coordinator 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.

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Primary Responsibilities:

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  • Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
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  • Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
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  • Manage the care plan throughout the continuum of care as a single point of contact
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  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
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  • Advocate for patients and families as needed to ensure the patients needs and choices are fully represented and supported by the health care team
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  • Make outbound calls and receive inbound calls to assess members' current health status
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  • Identify gaps or barriers in treatment plans
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Expect to spend about 80% of your time in the field visiting our members in their homes or in long-term care facilities. Youll need to be flexible, adaptable and, above all, patient in all types of situations.

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Youll 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.

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Required Qualifications:

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  • High School Diploma / GED (or higher)
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  • Active RN license in the state of Texas, a Social Work License OR a 4+ year clinical degree
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  • 4+ years of clinical experience
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  • 4+ years of experience working within the community health setting in a health care role
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  • Experience in long-term care, home health, hospice, public health or assisted living
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  • Must reside in Harris County, Texas
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  • The ability to travel 80% in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices
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  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
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  • Ability to keep all company sensitive documents secure (if applicable)
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  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
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  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.
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Preferred Qualifications:

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  • Bachelors Degree (or higher)
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  • A background in managing populations with complex medical or behavioral needs
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  • Experience with electronic charting
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  • 5+ years of experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send documents), Microsoft Word (ability to create, edit, save, and send documents), Microsoft Excel (ability to create, edit, save, and send spreadsheets)
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  • Case management experience
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  • 5+ yearsexperience documenting in an electronic documentation system
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  • Certified Case Manager (CCM)
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  • Experience in discharge planning
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  • Experience in utilization review, concurrent review or risk management
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  • Experience with arranging community resources
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  • Bilingual in Spanish and/or Vietnamese
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UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

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You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in healthcare here. We serve the healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV / AIDS and High - risk Pregnancy. Our holistic, outcomes - based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your lifes best work.SM

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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.
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"UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Keywords: Clinical, Registered Nurse, RN , CCM, Medicaid Waver, Medicaid, MDCP, pediatrics, field based, home care, home health, complex case management, managed care, bilingual, mental health, behavioral health, case management, case manager, home and community based services, long-term care, LTC, hospice, public health, assisted living, Medicare, Medicaid, Waiver, healthcare, managed care, field-based,Harris County, TX, Houston, Texas, TX, UHG, UnitedHealth Group, UHC, UnitedHealth Care, Community and State,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

Posted: 2021-06-29 Expires: 2021-08-27

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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RN - Health & Social Services Clinical Coordinator - Harris County, Texas - 922078

UnitedHealth Group
Houston, TX 77002

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