Health & Social Services RN

In this autonomous Health and Social Services Coordinator role, you will be an essential element of an Integrated Care Model by relaying pertinent information about member needs and advocating for the best possible care available, and ensuring the members have the right services to meet their individualized needs.

If you are located in the state of Michigan, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities

• Analyze, assess, plan and implement care strategies that are adapted to the patient and directed toward the most appropriate, least restrictive level of care
• Actively identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
• Act as a champion of member care plans throughout the continuum of care and act as a single point of contact
• Confidently communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Courageously advocate for patients and families to ensure the patient's needs and choices are fully represented and supported by the health care team
• Assess members' current health status by making outbound calls and receiving inbound calls
• Recognize gaps or barriers in treatment plans
• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
• 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

Required Qualifications

• Registered Nurse license in the state of MI
• 4+ years of clinical experience/community health in a healthcare setting
• 2+ years of Case Management experience
• 2+ years of Medicaid experience
• 1+ years of experience working with MS Word, Excel and Outlook
• Must reside in the state of Michigan

Preferred Qualifications

• Certified Case Manager (CCM)
• Experience working with the needs of vulnerable populations who have chronic or complex conditions
• Experience with electronic charting
• Experience with arranging community resources
• Medicare experience
• Experience or exposure to discharge planning
• Experience in utilization review, concurrent review or risk management
• Background in managing populations with complex medical or behavioral needs
• Acute care experience

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

The hourly pay for this role will range from $29 - $52 per hour based on full-time employment.