UCM Digital Health (UCM) is a leading innovator in the digital health space, founded in 2015 by emergency medicine providers with the vision that all care should begin digitally. Our mission is to put the patient first with a best-in-class digital experience backed by emergency medicine expertise. Our digital front door platform, integrated technology, and 24/7 telehealth treat, triage and care coordination seamlessly connect digital and physical healthcare for patients. We deliver the right care, at the right time and place, and at the right cost for our more than 2 million patients and over 600 clients and growing.

Our solution is designed to lower costs, improve outcomes and provide a better patient experience. More than a digital front door, UCM brings together clinical expertise, advanced technology, and compassionate care to offer powerful advantages for health plans, employers, patients and providers. 

We are looking for candidates who share our mission to put the patient first and our values of honesty, compassion, inquisitiveness, fearlessness, accountability, and teamwork. If you have an entrepreneurial spirit, thrive in a fast-paced environment, and are ready to contribute to a growing company, come join our team! This is a great opportunity to be part of changing the game in healthcare! 

POSITION SUMMARY:

We're looking for a Nurse Care Coordinator (NCC) to join our Clinical Care Team. You'll work with our cross-functional team, interfacing with the internal UCM Team and external vendors about innovative ways to help navigate challenges that may stand in the way of the patients needs. You'll get to know patients through video/phone conversations along with their medical record, provide education and suggest appropriate treatments based on our comprehensive approach to maximize health. You'll be supported by physicians' assistants, nurse practitioners, physicians and a care coordination team to ensure patients get the care they need and remain engaged in that care. You'll be reporting to the VP, Clinical Operations.

The ideal candidate has a strong understanding of emergency and urgent care, primary care and mental health, experience in clinical case management, has an interest in using technology to deliver better, more personalized, convenient care and works well independently as well as a member of a team. You have extensive experience with patients and enjoy the process of guiding and advocating for patients during their care journey with their best interest in mind. Lastly, you are a consummate team player who will thrive in a technology forward, rapidly growing and changing environment, quickly adapting to change and contributing your ideas to help our team continuously improve our operations and quality of care.

POSITION OBJECTIVES: 

The Nurse Care Coordinator will:

• navigate complex health systems to remove barriers patients face when accessing healthcare;
• serve as a bridge between, and resource for Providers and Care Coordinators; leverage a biopsychosocial framework to meet patients where they are, empower and motivate them to engage in recommended care, communicate with patients to understand their care needs and provide education to help improve outcomes.

RESPONSIBILITIES: 

• Complete mandated reports of communicable diseases, animal bites and suspected abuse or neglect to local departments of health and protective agencies; document accordingly in the electronic medical record.
• Lead the bulk order processes for indicated screenings and labs. 
• Provide follow up outreach to patients with normal values and escalate abnormal results to a member of the Provider team, document accordingly in the electronic medical record.
• Coordinate the ordering and delivery of clinical and community services, including durable medical equipment (DME), document accordingly in the electronic medical record.
• Liaise with pharmacies for medication verification and regarding issues with prescribed medications; work with the pharmacy and Provider team to ensure resolution, document accordingly in the electronic medical record.
• Arrange medication deliveries. 
• Secure prior authorizations required by insurance companies to help facilitate referrals ordered by the Providers to facilitate patient care.
• Drive expansion of mobile health visits (nurse triage). 
• Monitor daily patient flow, escalate potential delays in care and resolve swiftly.
• Perform patient post-visit follow up calls and document accordingly.
• Perform frequent outreach to monitor patient progress to ensure adherence and success, document outcomes of outreach in the electronic medical record.
• Review medical records to identify patients who would benefit from additional care, perform outreach and arrange care accordingly.
• Identify additional resources and interventions that will help patients successfully improve their condition.
• Serve on care delivery committees as assigned.
• Ensure a first class, concierge experience for all patients.
• Collaborate with the UCM internal team and external vendors.
• Other duties as assigned by management team
• Adhere to all corporate Information Security policies and procedures.
• Identify any breaches or potential breaches of corporate Information Security standards and communicate those to appropriate individuals.
• Maintain integrity, availability, and confidentiality of all PHI.
• Adhere to HIPAA standards for information security, privacy, and confidentiality

CORE COMPETENCIES:

• Technology- Knowledge of, and proficiency in, computer use and electronic medical records.
• Customer Service Oriented – Friendly, cheerful and helpful to patients and others.
• Decision Making – Ability to make critical decisions while following UCM P&P.
• Flexibility – Ability to adapt easily to changing conditions and work responsibilities.
• Collaborative – Work as part of a team and collaborate with internal and external partners.
• Accuracy – Ability to perform work accurately and thoroughly and with attention to detail within stressful situations.
• Communication – Ability to communicate effectively verbally and in writing.
• Confidentiality – Maintain patient, team member and employer confidentiality. Comply with all HIPAA regulations.

EDUCATION:  Associates degree in Nursing required, Bachelor's degree preferred

LICENSURE:  LPN required or Registered Nurse

EXPERIENCE:

• Medical- 2 years of medical practice (emergency/urgent/PCP setting, preferred)

• Experience in one or more of the following areas of Nursing, preferred:

  • emergency/urgent care
  • primary care and/or mental health
  • Clinical case Management, Care coordination; insurance/managed care

TRAVEL: Travel is not anticipated for this position OTHER DUTIES: This job description is intended to convey information essential to understand the scope of the position. It is not intended to be an exhaustive list of skills, efforts, duties, or responsibilities associated with the position. Duties, responsibilities, and activities may change at any time with or without notice. EQUAL EMPLOYMENT OPPORTUNITY STATEMENT: UCM Digital Health maintains a strong policy of equal opportunity in employment. It is out objective to recruit, hire, and retain the most qualified individuals without regard to race, color, religion, sex, sexual orientation, or identity, national origin, age, disability, veteran status or any other characteristic or status protected by applicable federal, state or local law. Our equal employment philosophy applies to all aspects of employment, including recruitment, compensation, benefits, training, promotions, transfers, job benefits, and termination. UCM Digital Health is an at-will employer. We recognize that you retain the option, as does the company, of ending your employment with UCM Digital Health at any time, with or without notice and with or without cause.