Field Care Coordinator RN, Franklin County, OH and Surrounding Areas - Remote

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 RN Clinical Care Coordinator will perform activities that focus on Foster Care and Kinship Medicaid members, relaying the pertinent information about the child’s needs, advocating for the best possible care available, and ensuring they have the right services to meet their needs.

This is a home-based position with possible field responsibilities.

If you are located in Allen, Auglaize, Butler, Champaign, Clark, Clermont, Clinton, Darke, Defiance, Fayette, Fulton, Greene, Hamilton, Henry, Logan, Madison, Mercer, Miami, Montgomery, Paulding, Preble, Putnam, Shelby, Union, Van Wert, Warren, Williams Adams, Athens, Belmont, Brown, Delaware, Fairfield, Franklin, Gallia, Guernsey, Highland, Hocking, Jackson, Knox, Lawrence, Licking, Meigs, Monroe, Morgan, Muskingum, Noble, Perry, Pickaway, Pike, Ross, Scioto, Vinton, Washington, OH or the close very surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

• Partner and collaborate with the internal care team, providers, and community resources/partners to implement care plan
• Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team
• Work independently to identify priorities, make decisions, and complete work to meet established objectives; Works with minimal guidance; seeks guidance on only the most complex tasks  
• Maintains records identifying individual member services that were missed
• Prepare reporting required by organization and state partner
• Other responsibilities as needed

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 independent licensure as a Registered Nurse in Ohio
• 4 years of Clinical Experience
• 1 years of experience working with children in custody, adoptive children and/or the pediatric population
• 1 years of experience with MS Office, including Word, Excel, and Outlook
• Reside within Allen, Auglaize, Butler, Champaign, Clark, Clermont, Clinton, Darke, Defiance, Fayette, Fulton, Greene, Hamilton, Henry, Logan, Madison, Mercer, Miami, Montgomery, Paulding, Preble, Putnam, Shelby, Union, Van Wert, Warren, Williams Adams, Athens, Belmont, Brown, Delaware, Fairfield, Franklin, Gallia, Guernsey, Highland, Hocking, Jackson, Knox, Lawrence, Licking, Meigs, Monroe, Morgan, Muskingum, Noble, Perry, Pickaway, Pike, Ross, Scioto, Vinton, Washington of Ohio, or the very close surrounding areas, with reliable transportation and the ability to travel within the designated area if needed

Preferred Qualifications:

• BSN, Master's Degree or Higher in Clinical Field
• Certified Case Manager (CCM) certification
• 1 years of case management experience coordinating care for individuals with complex needs 
• Experience working with external organizations geared toward supporting children such as Protective Children’s Services agencies, Families & Children First Experience/exposure with discharge planning, utilization review, concurrent review and/or prior authorization review
• Experience with arranging community resources
• Background in Managed Care  
• Councils, Boards of Developmental Disabilities, etc.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

Salary : $29 - $56