RN Care Coordinator - Disease Management, Remote in TX

apartment UnitedHealthcare location_onHouston, TX

$28.94 - $51.63 / HOUR

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. On the UHC Community & State Complex Care Management team, this TX Registered Nurse will address efforts focused on medical, behavioral, and social determinants of health factors that improve the well-being of individuals, families, and communities. Within the scope of nursing practice, this RN will be an essential element of an Integrated Care Model by relaying pertinent information about the member needs and advocating for the best possible care available. Generally work is self-directed and not prescribed Works with less structured, more complex issues Serves as a resource to others He/she/they will telephonically work directly with a diverse population of members to assist with unmet needs, closing gaps in care, reducing risk for ER and hospital utilization, identifying appropriate referral needs, and providing education on disease management and preventive health care to empower patients to manage their chronic health conditions. If you are located in the state of Texas, preferably Harris County, you will have the flexibility to work remotely* as you take on some tough challenges with the travel up to 25% of time in the field, visiting our members in their homes, long term care (LTC), or other approved facilities. Primary Responsibilities Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Utilize both company and community-based resources to establish a safe and effective case management plan for members Collaborate with patient, family, and healthcare providers to develop an individualized plan of care Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team Utilize approved clinical criteria to assess and determine appropriate level of care for members Document all member assessments, care plan and referrals provided Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan Understand role and how it affects utilization management benchmarks and quality outcomes You'll need to be flexible, adaptable and, above all, patient in all types of situations What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include 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.) More information can be downloaded at: http://uhg.hr/uhgbenefits 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 in the state of Texas 2+ years of experience working within the community health setting in a health care role Intermediate level of proficiency in MS Office (Word, Excel, PowerPoint, Outlook, Teams) Intermediate level of proficiency with technology resources (computers/mobile devices, Internet, social media platforms & networks, software applications, virtual presence, etc.) Have a designated quiet workspace and access to install secure high-speed internet via cable/DSL in home This is a non-exempt/hourly paid role. Must be willing to work core business hours of Mon-Fri, 8:00am - 5:00pm (CT) and overtime, when required at the request of the business Expect to travel up to 10% of time in the field, visiting our members in their homes, long term care (LTC), or other approved facilities Live within a 60 mile commutable driving distance to a TX UHG office Preferred Qualifications BSN - Bachelor of Science in Nursing 4+ years diversified clinical nursing experience, including medical/surgical nursing, case management or home care Pediatric experience Behavioral health experience Field based work experience Experience with electronic charting Experience collaborating with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communities Experience with arranging community resources Background in managing populations with complex medical or behavioral needs Background in managing populations with diabetes Demonstrated knowledge of Medicaid, TX STAR Kids, STAR, CHIP Proficiency in CMS marketing rules and regulations Bilingual Soft Skills Solid, interpersonal, relationship-building skills Able to communicate effectively written and verbal in a professional manner Ability to work in a self-directed manner within a fast-paced, deadline-driven environment Proactively seeks guidance on complex tasks, as needed Client focus and ability to adapt style and approach to customer preferences Problem resolution and time management skills Remain flexible, adaptable, and patient in all types of situations 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 $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

RN

Full-time

Field Service Coordinator, RN - Remote in Southwest Fort Worth, TX

apartment UnitedHealthcare location_onGranbury, TX

$28.94 - $51.63 / HOUR

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This is a Field Based role with a Home-Based office. If you are located in or within commutable driving distance to the Southwest Forth Worth TX area, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, least 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 Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include 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.) More information can be downloaded at: http://uhg.hr/uhgbenefits 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 Current Registered Nurse unrestricted license in the state of Texas (no compact license) 2+ years of experience working within in a healthcare role Intermediate level of proficiency with Microsoft Office, including Word, Excel, and Outlook Valid driver's license, access to reliable transportation, ability to travel up to 75% in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' office Reside in or within commutable driving distance to the Southwest Forth Worth TX area Preferred Qualifications 2+ years of experience working within the community health setting 1+ years of experience with long term care services and support, Medicaid or Medicare Ability to create, edit, save and send documents, spreadsheets and emails Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations Reside in zip codes: 76044,76059, 76009, 76033, 76058 All Telecommuters 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 $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

RN

Full-time

Field Service Coordinator, RN Remote in Richardson TX

apartment UnitedHealthcare location_onRichardson, TX

$60,200 - $107,400 / YEAR

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. If you are located in or within commutable driving distance to Richardson, TX, and surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges. This is a Field Based role with a Home-Based office. Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Utilize both company and community-based resources to establish a safe and effective case management plan for members Collaborate with patient, family, and healthcare providers to develop an individualized plan of care Identify and initiate referrals for social service programs; including financial, psychosocial, community, and state supportive services Manage care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team Utilize approved clinical criteria to assess and determine appropriate level of care for members Document all member assessments, care plan and referrals provided Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan Accountable to understand role and how it affects utilization management benchmarks and quality outcomes Expect to spend about 75% of your time in the field visiting our members in their homes or in long - term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations 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 Current unrestricted RN license in the state of Texas 2+ years of experience working within the community health setting or in a health care role Familiarity with Microsoft Office, including Word, Excel, and Outlook Valid driver's license, reliable transportation and the ability to travel up to 75% in this 'assigned region' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices High-speed internet at residence Reside within commutable driving distance to Richardson, TX and surrounding areas Preferred Qualifications 1+ years of experience with long term care services and support, Medicaid or Medicare Ability to create, edit, save and send documents, spreadsheets and emails Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations 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 salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

RN

Full-time

HSS Clinical Coordinator, RN - Remote in Texas

apartment UnitedHealthcare location_onHouston, TX

$28.94 - $51.63 / HOUR

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 Field Care Coordinator RN role, 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. If you reside in Texas, 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 by patient and directed toward the most appropriate, lease restrictive level of care Utilize both company and community-based resources to establish a safe and effective case management plan for members Collaborate with patient, family, and healthcare providers to develop an individualized plan of care Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team Utilize approved clinical criteria to assess and determine appropriate level of care for members Document all member assessments, care plan and referrals provided Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan Accountable to understand role and how it affects utilization management benchmarks and quality outcomes You'll need to be flexible, adaptable and, above all, patient in all types of situations 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 Current RN unrestricted license in the State of TX or a compact RN license 2+ years of experience working within the community health setting or in a health care role 2+ years of experience working in community health, clinical, hospital, acute care, direct care or case management setting 2+ years of experience working with MS Word, Excel, and Outlook High-speed internet at residence Must live within a 60 mile commutable driving distance to a UHG office Reside in the state of Texas Preferred Qualifications 1+ years of experience with long term care services and support, Medicaid, or Medicare Knowledge of the principles of most integrated settings, including federal and state requirements like the federal home and community-based settings regulations Proven ability to create, edit, save and send documents, spreadsheets and emails 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 $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

RN

Full-time

Preservice RN - Remote in VA Only

apartment UnitedHealthcare location_onArlington, VA

$28.94 - $51.63 / HOUR

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. For consideration you must be available to work Saturday and Sunday 8am until 5pm as well as three additional work week days 8am until 5pm and reside within the state of VA. If you reside within the state of Virginia, and you will have the flexibility to work remotely* as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities Authorization review and entry for HCBS authorizations using Virginia specific criteria Review of state specific documents required for HCBS services Communication with HCBS Providers Gather clinical information to assess and expedite care needs Consult with the Care Manager and/or Medical Director as needed to troubleshoot difficult or complex cases 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 Unrestricted, active RN license 3+ years of RN experience in an acute setting Ability to create, edit, save and send documents utilizing Microsoft Word. Ability to navigate a Windows environment, Microsoft Outlook, and conduct Internet searches Preferred Qualifications HCBS authorization experience Utilization management, prior authorization, and case management experience Managed care experience Working knowledge of ICUE and CAT_LaunchPad 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 $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Field Service Coordinator, RN - Palestine, Rusk, Elkhart, TX

Related Jobs

RN Care Coordinator - Disease Management, Remote in TX

Field Service Coordinator, RN - Remote in Southwest Fort Worth, TX

Field Service Coordinator, RN Remote in Richardson TX

HSS Clinical Coordinator, RN - Remote in Texas

Preservice RN - Remote in VA Only