RN Full-time
UnitedHealthcare

Field Service Coordinator, RN - Nursing Facility, Marquez, 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

If you are located in or within commutable driving distance to Marquez, TX, and surrounding areas, 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 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
  • 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
  • Make outbound calls and receive inbound calls to assess members' current health status
  • Identify gaps or barriers in treatment plans

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 RN license in the state of Texas
  • 2+ years of experience working within the community health setting in a health care role
  • Experience in long-term care, home health, hospice, public health or assisted living
  • Valid driver's license, reliable transportation, and the ability to travel up to 75% in assigned regions to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices
  • Reside in or within commutable driving distance to Marquez, Caldwell, Franklin, Centerville, Bremond, or Madisonville, TX

Preferred Qualifications

  • Bachelor's Degree
  • Certified Case Manager (CCM)
  • 5+ years of experience working with MS Word, Excel and Outlook
  • 5+ years of experience documenting in an electronic documentation system
  • Experience with electronic charting
  • Case management experience
  • A background in managing populations with complex medical or behavioral needs
  • Reside in or within commutable driving distance to Marquez, TX
  • 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.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

UnitedHealthcare

RN Senior Clinical Analyst - Remote

$72,800 - $130,000 / 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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The RN Senior Clinical Analyst is responsible for reviewing large claim notices to identify potential risks, setting up and monitoring claimants in POWER, and notifying relevant stakeholders as risk levels change. The role also involves educating internal and external customers about clinical trends, researching disease states using reputable resources, and assessing opportunities for cost containment. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review and assess large claim notices for potential risks. (approx. 25%) Set-up potential large dollar claimants in POWER for ongoing risk assessment and allocation of reserves Continue to follow these claimants on a monthly or bi-weekly basis depending on the severity and change in treatment Know when to set these claimants up based on clinical and cost knowledge Complete review of LCNs within 48 business hours of receipt Notify underwriter and claims auditor of potential risk when first notice received and again as risk changes Educate non-medical internal and external customers regarding clinical trends, treatments, possible outcomes Research medical conditions and disease states for appropriate treatment for specific conditions Utilize reputable clinical resources for research as needed such as NCCN, CDC, Predict Dx Assess all claimants for potential cost containment opportunities. (approx. 20%) Collaborate with TPA, case manager, claims auditor, underwriter, vendor to discuss and place appropriate cost containment measures Maintain timely diary follow-up of all claimants open in POWER. (10%) Index all documentation received Co-manage complex medical cases with Transplant/Dialysis coordinator Provide clinical claim file review for claims auditor as needed. (5%) Perform appropriate research for each clinical claim file review request Provide discussion/answer questions for claims auditor as needed Perform experimental/investigational file reviews for Claims Review PYCS to assist claim auditor in setting appropriate reserves based on known or anticipated cost Reviewed all documents indexed into the package for each cost estimator request. (approx. 40% but during busy season-end of August to December approx. 75%) Perform appropriate research for each cost estimator request Identify all actual and potential risks for each cost estimator request Document clinical summary and estimate cost of care for each individual identified as at risk Provide re-review of additional information for updated cost estimates as needed Complete requests for cost estimates on new business within 24 business hours of receipt and on renewal business within 48 business hours of receipt Provide discussion/answer questions for underwriter as needed Complete Hot Claims reports as needed. This is used to track large claims and any cost containment strategies put in place Attend monthly Account Management/Sales calls 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: Registered Nurse (RN) with a current, unrestricted RN license in the state of residence 5+ years of clinical experience 2+ years of experience working in an ER, ICU or Critical Care environment 2+ years of experience working in an insurance or managed care company, or working with a third-party administrator 1+ years of hands-on Excel experience Required Qualifications: Employer Stop Loss experience Computer proficiency, specifically solid typing skills and Internet research skills, must have a clear understanding of Microsoft Word and Excel Demonstrated ability to multitask and remain organized 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 $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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.
UnitedHealthcare

Field Service Coordinator, RN - Waco, TX Remote

$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 of Waco, TX or surrounding areas, 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, at 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 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 TX 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 A valid driver's license, reliable transportation and the ability to travel up to 75% within McLennan County, TX and surrounding areas 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 50 miles from McClennan County, TX 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 Demonstrated 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.
UnitedHealthcare

RN Health Coordinator - Field Based on Oahu, HI

$28.27 - $50.48 / hour
$5,000 Sign-on Bonus for External Candidates 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 . You push yourself to reach higher and go further. Because for you, it's all about ensuring a positive outcome for patients. In this role, you'll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you'll 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. In this RN Health and Social Services Care Coordinator 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 are located on Oahu, HI, you will have the flexibility to work remotely* as you take on some tough challenges. Must be able to travel locally on Oahu, HI up to 75% of the time. Our teams are based in the downtown Honolulu area along with West Side, East Side, and North Shore areas. Primary Responsibilities Assess, plan and implement care strategies that are individualized by patient 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 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 Hawaii 2+ years of clinical experience Experience working directly or collaborating services for long-term care, home health, hospice, public health or assisted living Intermediate level of proficiency with MS Word, Excel and Outlook Ability to travel in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals or providers offices Driver's license and access to reliable transportation Current access or ability to obtain internet access via a landline Preferred Qualifications Bachelor's degree or higher CCM (Certified Case Manager) Experience with or exposure to discharge planning Experience with utilization review, concurrent review and/or risk management Experience with electronic charting Experience with arranging community resources Field-based work experience Case Management experience Experience working within the community health setting Background/experience with at least one of the following: behavioral/mental health, psychiatric nursing, housing/homeless outreach, community resource linkages, pregnancy, pediatrics or disease management Background in managing populations with complex medical or behavioral needs Background in mental health or experience working with serious mental illness Bilingual in Cantonese or Mandarin Psych background including community nursing such as PHN or IP psych facility 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. #UHCPJ 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.
UnitedHealthcare

Behavioral Health Case Manager, LCSW, RN or CPC - Las Vegas, NV

$58,800 - $105,000 / year
$5,000 Sign On Bonus for External Candidates 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 Behavioral Health Case Manager will be responsible for the management and coordination of Case Management services for members with complex needs and requiring complex service. The Outpatient Case Manager works directly with the member, provider(s), facilities, and other entities to ensure the most appropriate care is provided. The Case Manager manages members from all contracted product lines. The Case Manager assesses, plans, implements, coordinates, monitors, and evaluates the outcomes, ensuring options and services required to meet the member's health needs are best utilized. The Case Manager provides education, advocacy, communication, and resource management and promotes quality, self-management, and cost-effective interventions and outcomes. Candidate must be available to work Monday - Friday 8:00 am - 5:00 pm and to travel up 25% of the time throughout the Clark or Washoe County, NV area. *** If you reside within a commutable distance from the Las Vegas, NV area, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Perform Member assessment of all major domains using evidence-based criteria (behavioral, physical, functional, financial and psychosocial) Assess, plan and implement care plan strategies that are individualized by Member and directed toward the most appropriate, least restrictive level of care, to achieve recovery and adaptive functioning and monitor progress toward their goals Utilize both company and community-based resources to establish a safe and effective case management plan for Members Collaborate with Member, family, and health care providers (PCP, BH Providers) to develop an individualized plan of care and supportive services for members Support and coordinate Member behavioral health services and integrated substance use disorder treatment, supporting medication management, symptoms management, rehabilitation, crisis stabilization, and psychosocial education on an outpatient basis Provide advocacy, health education, coaching, referrals and treatment decision support for Members and their caregivers Meet with Members via telephone or in the community (in their home, at their providers' office, community settings or at inpatient facilities) if requested, deemed appropriate, or warranted Document activities according to established standards and ensure files meet NCQA/Medicaid requirements Accountable to understand role and how it affects utilization management benchmarks and quality outcomes Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan Takes in-bound calls and places out-bound calls as dictated by Member and business needs Special projects, initiatives, and other job duties as assigned 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 LCSW, RN, LMFT or CPC license in State of Nevada 2+ years of behavioral health experience Intermediate level of proficiency using a PC in a Windows environment, including Microsoft Word Preferred Qualifications CCM certification or ability to obtain within 2+ years of employment 2+ years of case management/utilization review experience Knowledge of patient care delivery in a managed care environment Basic knowledge of both state programs and the community-based services 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 $58,800 to $105,000 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.
UnitedHealthcare

Field Service Coordinator, RN -Tarrant County, 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 Tarrant County SDA 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, 76140 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.