Care Coordinator, RN – Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Family and Children’s Medicaid RN Care Coordinator serves as a clinical resource to the other care team members, helps the member obtain medically necessary services and collaborates with the behavioral health Care Manager and Community Navigator and the member’s providers to coordinate the delivery of the member’s social, behavioral, and medical services and supports.

You’ll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges.

• Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
• Outreach to members to complete a Comprehensive assessment to identify gaps in care and any barriers
• Identify the most appropriate resources and or support systems that will be included as part of the member’s multidisciplinary team
• Use evidence-based clinical policies and guidelines as the framework for clinical decisions and service provision that optimizes member care and outcomes
• Outreach regularly to member to assess closure of identified gaps
• Focus on the reduction of avoidable unplanned hospital admissions, impactable medical expense and reducing the burden of illness for members with complex or acute medical and behavioral conditions
• Identify and engage members at-risk for readmission after discharge from an inpatient stay, focus on minimizing hospital and ER visits
• Assist with transitions of care and provide outreach and follow-up to members following hospital discharge
• Assess for any barriers to closing gaps in care and develop a strategy to overcome barriers
• Create care plans using the appropriate OGI’s (opportunity, goals, and interventions)
• Refer members to appropriate community resources and/or programs and provide timely follow-up
• Improve member care, service, experience, access through end-to-end case management
• Engage and communicate with the multidisciplinary team members on an ad hoc and ongoing basis to document and track their participation in the member record
• Communicate with the PCP, specialists, and other care providers to coordinate care needs outlined in the care plan
• Perform accurate and timely documentation in the electronic medical records
• Serves as a clinical resource to the other care team members
• Comply with all departmental policies and procedures

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.

• Current, unrestricted RN license in the state of MN
• 5+ years of Care Management experience
• 2+ years of experience with high-risk pregnancy, NICU, pediatric members
• Experience working with the needs of vulnerable populations
• Familiarity with the resources available in the community
• Knowledge of Medicaid population

Proficient in using computer based charting and similar programs

* All employees working remotely will be required to adhere to United Health Group’s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives.

The salary for this role will range…