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Role Description

In this RN Nurse Care Coordinator role, you 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, ensuring they have the right services to meet their needs. Our team is made up of RNs, LVNs, and CACs dedicated to helping members achieve their health care goals. We work closely with the nursing facilities in which our members reside.

If you are in or within a 60 mile radius driving distance from Dallas County, TX to support the following zip code areas 75216, 75237, 75211, 75062, 75061, 75038 and can travel locally, you will have the flexibility to work remotely as you take on some tough challenges. Travel required in local areas about 75% of the time based on business needs. This is a field-based position with a home-based office.

Primary Responsibilities:

• Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, least restrictive level of care.
• Identify and initiate referrals for member transition to community request and provide assistance with 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 for the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
• 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.
• Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices.

Qualifications

• 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.
• Intermediate level of computer proficiency (including Microsoft Outlook, Teams) and ability to use multiple web applications.
• Valid driver’s license, reliable transportation and the ability to travel up to 75% in this ‘assigned region’ to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices.
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI).
• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
• Reside in or within a 60 mile commutable driving distance from Dallas County, TX.

Preferred Qualifications

• 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 within one of the following zip codes: 75216, 75237, 75211, 75062, 75061, 75038.

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.).