RN Clinical Coordinator - Honolulu, HI

Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm)
 
The work location for this position is our Honolulu office located at
1132 Bishop Street  Honolulu, HI 96813
 
Primary Responsibilities:


Identify, coordinate, monitor, audit, and ensure appropriate levels of care of members that are in a Community Care Foster Family Home (CCCFH) and the Community Case Management Agencies (CCMA).

Oversight of clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating) by these agencies and homes.

Case management, coordination of care, medical management consulting, auditing, and reporting.

Function may also be responsible for providing health advocacy, education, coaching and treatment decision support for members, caregivers, and CCMA's which may include but not limited to being the Point of Contact .

Required Qualifications:

Current, unrestricted RN license in the State of Hawaii 
Reliable transportation to travel to member homes or other locations within service delivery area
3+ years of clinical experience in a hospital, acute care, home health/hospice, direct care or case management environment
Computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications, including MS Word 
Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Preferred Qualifications:

Case Management experience including Certification in Case Management
Home care/field based case management
Medicaid, Medicare, Managed Care experience
Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
Bilingual skills
Experience in Home & Community based or Long Term Care services delivery
 Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM
 
Diversity creates a healthier atmosphere: 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.
 
Job Keywords: RN, Registered Nurse, Case Manager, CCM, Discharge Planner, Auditor, 1147, Utilization, Auditing, Medicaid, Quest, Honolulu, HI, Hawaii