RN Field Clinical Care Coordinator - Essex County, MA

Primary Responsibilities

• Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
• Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
• Persist and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
• Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
• Advocate for members and families as needed to ensure the members' needs and choices are fully represented and supported by the health care team

Qualifications

• High School Diploma/GED
• Current and unrestricted independent licensure as a Registered Nurse for MA
• 2+ years of clinical experience
• Intermediate level of proficiency with MS Office, including Word, Excel and Outlook
• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Ability to transition from office to field locations multiple times per day
• Ability to navigate multiple locations/terrains to visit employees, members and/or providers
• Ability to transport equipment to and from field locations is needed for visits (e.g. laptop, stethoscope, etc.)

Preferred Qualifications

• Bachelor's or Master's Degree in Nursing
• Certified Care Manager (CCM)
• 1+ years of community case management experience coordinating care for individuals with complex needs
• Background in Managed Care
• Experience working in team-based care
• Ability to utilize an Electronic Medical Record or other electronic platforms
• Ability to use on-line training platforms
• Demonstrated ability to utilize virtual care platforms

Physical Requirements

• Ability to transition from office to field locations multiple times per day
• Ability to navigate multiple locations/terrains to visit employees, members and/or providers
• Ability to transport equipment to and from field locations is needed for visits (e.g. laptop, stethoscope, etc.)
• Ability to remain stationary for long periods of time to complete computer or tablet work duties

Benefits

• 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.)