Field Service Coordinator, RN Remote in Richardson TX

UnitedHealth Group•Plano, TX

6d•Remote

About The Position

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%25 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.

Requirements

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%25 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

Nice To Haves

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

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
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