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HSS Clinical Coordinator RN - Lafayette, LA

extra holidays - extra parental leave

Remote:

Full Remote

Experience:

Mid-level (2-5 years)

Work from:

Laos, Louisiana (USA), United States

Offer summary

Qualifications:

Current, unrestricted RN license in Louisiana, 2+ years working with maternal and child health, 3+ years of OB or NICU clinical nursing experience, Proficiency in Microsoft Office Suite.

Key responsabilities:

Provide trimester-specific education to members
Coordinate care for high-risk maternity members

UnitedHealthcare XLarge http://www.uhc.com/

10001 Employees

See all jobs

Job description

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 reside within a commutable distance from Lafayette, LA, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities

Providing evidenced based trimester specific and postpartum education to promote a healthy pregnancy, delivery, and postpartum outcomes for mother and baby
Coordinating care for high risk maternity members
Proactively engages the member to manage their own health and healthcare
Making outbound calls to assess members' current health status
Identifying gaps or barriers in treatment plans
Educating members on disease processes
Encouraging members to make healthy lifestyle changes
Documenting and tracking findings
Interacting with Medical Directors, providers, internal and external partners on challenging cases
Creating a positive experience and relationship with the member and your team
Performing outreach to providers, hospitals, Members, and clinics
Making referrals and connecting members to community resources
Coordinating services as needed (home health, DME, etc.)
Attending community events
Able and willing to travel within the assigned region per the business needs
Performs all other duties 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 RN license in the State of Louisiana with 2+ years of qualifying experience working within the maternal and child health population
Ability to travel up to 50% of time in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers’ offices
3+ years of OB or NICU clinical nursing experience
2+ years of experience in a hospital setting, acute care, direct care experience as an RN and / or experience as a telephonic Case Manager for an insurance company
Proficiency with Microsoft Office Suite, with the ability to navigate a Windows environment
Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, Internet research, use of online calendars and other software applications
Located in the state of Louisiana

Preferred Qualifications

Certified Case Manager (CCM)
Certified Lactation Consultant (CLC)
Experience working with chronic illness and complex care needs population
Experience in utilization review, concurrent review and / or risk management
Medicaid experience
Psychiatric or Behavioral Health experience
A background in managed care
Bilingual Spanish speaking
Proven problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Proven ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

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