HSS Clinical Coordinator RN - New Orleans or Metairie, LA Markets

Health And Social Services Clinical Coordinator

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.

In this Health And Social Services Clinical Coordinator role, you'll support a diverse member population through education, advocacy, and connections to resources to ensure a maximum quality of care and life. You'll interact and collaborate with multidisciplinary care teams, including physicians, nurses, pharmacists and social workers. As a Clinical Coordinator with UnitedHealth Group, we focus on supporting the member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services. We're connecting care to create a seamless health journey for patients across care settings. The result is a culture of performance that's driving the health care industry forward.

This position is full-time (40 hours/week), Monday - Friday (8:00am - 5:00pm CST). Our work site is located at University Medical Center, 2000 Canal Street, New Orleans, LA 70112; the position will be 75% at the onsite location and 25% remotely. It may be necessary, given the business need, to work occasional overtime.

If you reside in a commutable distance New Orleans/Metairie, LA you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Assess, plan, and implement care strategies that are individualized for each member
• Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
• Apply clinical expertise when discussing cases with internal and external Case Managers and Physicians
• Facilitate timely and appropriate care and effective discharge planning
• Participate in discussions with the Clinical Services team to improve the progression of care to the most appropriate level
• Consult with the United HealthCare Medical Director as needed for complex cases and make appropriate referrals to sister segments
• Educate members on disease processes, self-management and healthy lifestyle changes
• Complete all organizational and department specific clinical educational competencies
• Comply with established departmental policies, procedures, objectives, and guidelines
• Participate in team meetings, education discussions and related activities
• Solid, effective communication skills (verbal and written)
• Work independently and self-directed
• Positive attitude and the ability to function as a collaborative team member

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 and unrestricted RN licensure in the state of Louisiana
• 3+ years of experience as a Registered Nurse in a hospital setting, acute care, direct care experience, community health setting or experience as a telephonic Case Manager
• Medical-Surgical/ICU/ED experience
• Case Manager/Utilization Management experience
• Demonstrated ability to keep all company sensitive documents secure (if applicable)
• Driver's license and access to reliable transportation, ability to travel up to 75% within assigned territory to meet with members and providers
• Based in New Orleans/Metairie LA area; must be able to come to the local office for business meetings as needed
• Private home office and access to high-speed Internet (Fiber Optic/Cable)
• Must reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

• Bachelor's degree
• Certification in Case Management (CCM)
• Field-based work experience
• Experience with Microsoft office suites i.e., Outlook, Word, Excel etc.
• Background in managing populations with complex medical or behavioral needs
• Proficient computer skills to work efficiently with electronic medical records
• Proven bilingual skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.