Hybrid Remote HSS Clinical Coordinator RN – RN Care Manager – Lower Peninsula of Michigan

Job Overview

  • Clinical License RN
  • State(s) MI

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 HOPE Care Manager is passionate, experienced and knowledgeable about the needs of youth in state custody. The HOPE Care Manager helps coordinate care and integrated services for eligible members. In addition, they promote timely access to physical examinations and medically necessary services. They have experience and expertise with the state’s child welfare system and will collaborate with the State of Michigan to make sure children in state custody have access to medically necessary treatments through referrals to appropriate providers.

If you reside in the state of Michigan in the lower Peninsula area, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Assess, plan and implement care strategies that are individualized for children and youth in a family-oriented context (e.g., considering reunification and/or other permanency planning needs, needs for adoptive children, and needs for transition-age youth with alternative permanency plans) and directed toward the most appropriate, lease restrictive level of care
  • Identify, initiate, coordinate, and monitor referrals for psychosocial, behavioral, and medical 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 children, youth, and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team
  • Provide trauma-informed and disease/disorder specific education to members and caregivers
  • Coordinate with the child welfare and juvenile justice system on behalf of members and caregivers
  • Coordinate with additional services, including but not limited to, educational/educational advocacy, complex behavioral health (PRTF, TFC, etc.), services in line with state Family First Prevention and Services Act for children and families, high fidelity wraparound services, early childhood intervention

What are the reasons to consider working for UnitedHealth Group?  Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • 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.)
  • More information can be downloaded at: http://uhg.hr/uhgbenefits

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 licensure as a Registered Nurse in state of Michigan
  • 2+ years of child welfare experience
  • 2+ years of working with pediatrics/children
  • 1+ years of experience with MS Office, including Word, Excel, and Outlook
  • Reside in State of Michigan
  • Reliable transportation and the ability to travel within assigned territory to meet with members and providers
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
  • Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

  • Bachelor’s Degree in Nursing
  • 2+ years of Clinical Experience
  • 1+ year(s) of community case management experience coordinating care for individuals with complex needs and experience working with the foster care population
  • Background in Managed Care, especially in Michigan
  • Experience working in team-based care
  • CCM certification

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

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. 

 

 

 

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