RN Health Coordinator - Field Based on Maui, HI

$28.27 - $50.48 / hour

$5,000 Sign-on Bonus for External Candidates

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.

You push yourself to reach higher and go further. Because for you, it's all about ensuring a positive outcome for patients. In this role, you'll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you'll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.

In this Health and Social Services Care Coordinator role, 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, and ensuring they have the right services to meet their needs.

If you are located on Maui, HI, you will have the flexibility to work remotely* as you take on some tough challenges. Position requires travel about 75% of the time locally.

Primary Responsibilities

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care
Identify and initiate referrals for 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 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 health care team
Visit 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.

Required Qualifications

Current, unrestricted RN license in the state of Hawaii
2+ years of experience working within the community health setting OR in a health care related role
Experience working directly or collaborating services for long-term care, home health, hospice, public health or assisted living
Intermediate level of proficiency with MS Word, Excel and Outlook
Willing or ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices
Current access or ability to obtain internet access via a landline
Driver's license and access to reliable transportation

Preferred Qualifications

Bachelor's degree or higher
CCM (Certified Case Manager)
Case Management experience
Experience with or exposure to discharge planning
Experience with utilization review, concurrent review and/or risk management
Experience with electronic charting
Experience with arranging community resources
Experience as a Public Health Nurse
Field-based work experience
Background in managing populations with complex medical or behavioral needs
Background in mental health or experience working with serious mental illness
All employees working remotely will be required to adhere to UnitedHealth 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 hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#UHCPJ

Share this job

Related Jobs

RN Clinical Manager, Home Health

BAYADA Home Health Care Wailuku, HI

BAYADA Home Health Care is currently seeking a full-time Clinical Manager (RN required) in our Medicare certified Maui Visits office in Wailuku, Hawaii . As one of the Clinical Managers, you will lead the field staff in providing exceptional client service, clinical excellence, and adherence to policies and procedures. Clinical Managers are also accountable for internal case management, field staff evaluation and development. Our office is growing! Build your career with a purpose! Duties of a Clinical Manager include: Directing and coordinating the care provided by a multi-disciplinary team of home health care professionals. Processing incoming referrals. Management and mentoring of Clinical Associates and field staff Facilitate new hire onboarding and orientation of field staff Documentation review, including OASIS and Home Care Home Base (HCHB) Monitoring quality assurance. Managing staff productivity, and overall case management. This is a full-time in-office position including client visits as necessary. Qualifications: An active Hawaii Registered Nurse license. Home Health experience preferred. Recent Medicare Certified Home Health Care experience. Comprehensive knowledge of the Medicare Conditions of Participation. Thorough understanding of OASIS documentation and ICD-10 coding. HCHB a plus. Strong people management and leadership experience highly desired. Excellent organizational, interpersonal and communication skills. Acute, med/surge, and/or sub-acute experience preferred/required. Highlights: Up to 100k based on qualifications, plus bonus eligibility Full time, office position that provides flexibility Advancement opportunities/Growth potential BAYADA Home Health Care offers the stability and structure of a national company with the values and culture of a family-owned business. Newsweek’s Best Place to Work for Diversity Newsweek’s Best Place to Work (overall) Newsweek’s Best Place to Work for Women and Families Glassdoor Best Places to Work AMAZING culture Strong employee values and recognition BAYADA Home Health Care offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit, tuition reimbursement and employee assistance program Established in 1975, BAYADA is a non-profit organization that has never been sold, caring for an average of 44,000 clients weekly with 31,500 employees onboard. BAYADA is serving clients in 21 states, 373 offices, 6 countries and growing!!! As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

Staff Nurse; Full-time, Mixed MedSurg/Tele Unit 2, MMMC

Kaiser Permanente Wailuku, HI

Job Summary: Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned. Essential Responsibilities: Practices professional nursing and delegates nursing tasks to nursing assistive personnel and provides direction to the LPN as appropriate. Utilizes nursing process to deliver care. Performs any task requiring nursing knowledge, judgment, and skills. Administers medications. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the Maui Health Vision, Model and Values through out their Nursing Practice. Performs other duties and accepts responsibility as assigned within the scope of their practice. May be assigned to another cost center; that may include other work locations on a shift by shift basis to meet patient care requirements.

Full-time

5 days ago

RN Health Coordinator - Field Based on Maui, HI

UnitedHealthcare Kahului, HI

$28.27 - $50.48 / hour

$5,000 Sign-on Bonus for External Candidates 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. You push yourself to reach higher and go further. Because for you, it's all about ensuring a positive outcome for patients. In this role, you'll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you'll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients. In this Health and Social Services Care Coordinator role, 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, and ensuring they have the right services to meet their needs. If you are located on Maui, HI, you will have the flexibility to work remotely* as you take on some tough challenges. Position requires travel about 75% of the time locally. Primary Responsibilities Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for 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 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 health care team Visit 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. Required Qualifications Current, unrestricted RN license in the state of Hawaii 2+ years of experience working within the community health setting OR in a health care related role Experience working directly or collaborating services for long-term care, home health, hospice, public health or assisted living Intermediate level of proficiency with MS Word, Excel and Outlook Willing or ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices Current access or ability to obtain internet access via a landline Driver's license and access to reliable transportation Preferred Qualifications Bachelor's degree or higher CCM (Certified Case Manager) Case Management experience Experience with or exposure to discharge planning Experience with utilization review, concurrent review and/or risk management Experience with electronic charting Experience with arranging community resources Experience as a Public Health Nurse Field-based work experience Background in managing populations with complex medical or behavioral needs Background in mental health or experience working with serious mental illness All employees working remotely will be required to adhere to UnitedHealth 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 hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #UHCPJ

Full-time

5 days ago

Senior Clinical Quality of Care RN - Arizona

UnitedHealthcare Phoenix, AZ

$35 - $62.50 / hour

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 Senior Clinical Quality of Care RN will be responsible for conducting quality of care (QOC) investigation, review and management of the regulatory Incident/Accident/Death (IAD) portal, documenting and communicating findings from these reviews, and preparing reports or summaries for internal and external customers. This position collaborates with the Chief Medical Officer or other Medical Directors to review QOC and other investigations and ensures that QOC investigations comply with all applicable State, Federal, and regulatory requirements. These activities are used to ensure care and services provided to our members are timely, adequate, and compliant with regulatory and professional standards and guidelines. These QOC investigations are specific to Arizona Medicaid and Medicare members. This position is an Arizona based remote position with the option of working 40% in-office. There is travel up to 25% of the time based on business needs. In-office may be required based on performance metrics. The office is located at 1 East Washington Street in Phoenix. If you are located within the state of Arizona, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Perform clinical documentation review of inpatient and outpatient care delivered to adults and children with Medicaid, Medicare health care benefits through Arizona United Health Care Community Plans for peer review and internal investigations of Quality of Care concerns Create professionally written case investigation summaries for Peer Review, present case summaries at the Provider Advisory Committee as applicable Review plans of correction from providers in response to a substantiated QOC occurrence Effectively interface with external customers, facilities and providers to resolve quality of care concerns, obtain medical records and other information Conduct delegated oversight reviews of contractors that perform work on behalf of UnitedHealthcare. This includes reviewing samples of contractor work against an audit tool or information found in medical charts Collaborate internally with Medical Directors and staff in other UHCCP departments Manage multiple tasks and projects and changing priorities; prioritize work products effectively Maintain timeliness for deliverables and regulator requests Must have the ability to work independently, good critical thinking skills, excellent verbal and written communication skills Occasional on-site provider visits may be required for potential Quality of Care concerns 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 Active, unrestricted RN license in the state of Arizona 5+ years of experience working as a Registered Nurse 2+ years of hospital experience as a Registered Nurse Experience evaluating and auditing medical records Proven intermediate skills in Microsoft Office, Word, and Excel ability to work with multiple data bases to retrieve and enter information Ability to travel up to 25% within the state of Arizona Driver's license and access to reliable transportation Reside within the state of Arizona Preferred Qualifications Quality Management experience in a healthcare setting Experienced with Behavioral Health Services Experience analyzing information and preparing written summaries Experience working in a deadline driven environment prioritizing responsibilities Knowledge of Medicare/Medicaid regulations Experience with medical record review and identification of quality of care concerns All employees working remotely will be required to adhere to UnitedHealth 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 hourly pay for this role will range from $35.00 to $62.50 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Full-time

5 days ago

Field Service Coordinator, RN - College Station, TX

UnitedHealthcare College Station, TX

$28.94 - $51.63 / hour

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together In this Health and Social Services Coordinator role, 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, and ensuring they have the right services to meet their needs. Our team is made up of RNs, Social Workers, Behavioral Health Specialists and others dedicated to helping members achieve their health care goals. This is a Field Based role with a Home-Based office. If you are located in or within commutable driving distance to College Station or Bryan, TX or surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for 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 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 health care team Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices 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 RN license in the State of TX 4+ years of experience working within the community health setting or in a health care role Intermediate Microsoft Office experience working with Microsoft Word, Excel, and Outlook (ability to create, edit, save and send documents, spreadsheets and emails) High speed internet at residence Valid driver's license, reliable transportation and the ability to travel up to 75% in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices Reside in or within commutable driving distance from College Station or Bryan, TX area Preferred Qualifications PDPM certification or the ability to obtain within 30 days of employment Experience in case management and/or certification in case management (CCM) Field-based work experience Experience with electronic charting Proven background in managing populations with complex medical or behavioral needs Bilingual skills: English and Spanish Reside in College Station or Bryan, TX area 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 hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.