Behavioral Telephonic Case Management Nurse - Remote in New York

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.

If you possess a New York RN license, you’ll have the flexibility to work remotely* as you take on some tough challenges. The Health and Social Services Clinical Coordinator RN (HSS Clinical Coordinator RN) opportunity is 100% remote.

Serve as primary care manager for members with complex medical/behavioral needs Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, functional, cultural, and socioeconomic (SDOH) domains Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Identify gaps or barriers in treatment plans Partner and collaborate with internal care team, providers, community resources/partners and leverage expertise to implement care plan Coordinate care for members and services as needed (home health, DME, etc.)  Provide education and coaching to support Member self-management of care needs in alignment with evidence-based guidelines; HEDIS/STAR gap closure Provide psychoeducation regarding conditions, medications/ medication adherence, provider/ treatment options, healthcare system utilization Help identify presence or exacerbation of behavioral health symptoms that may be influencing / impacting physical health Provide guidance / consultation to other team members regarding physical/behavioral health conditions, best practice, and evidence