Rn Care Manager

2 weeks ago

Gastonia, United States UnitedHealth Group Full time

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.

You push yourself to reach higher and go further. Because for you, it‘s all about ensuring a positive outcome for members. In this role, you‘ll work in the field and coordinate the care needs for members in the local community. And at every turn, you‘ll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our members.

In this RN Care Manager role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.

Expect to spend about 50% of your time in Gaston and Cleveland, NC, visiting our members in their homes or in long-term care facilities. You‘ll need to be flexible, adaptable and, above all, patient in all types of situations.

We offer our established staff the option to work 4 10-hour days (7 am-6 pm) in lieu of the traditional 8 hour 5/day week schedule *after employee has demonstrated competency with the role and are able to meet metrics, etc.

Additionally, there is no ‘on-call‘ or weekend requirements.

Primary Responsibilities:

  • Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care
  • Identify and initiate referrals for both healthcare and community based services; including but not limited to financial, psychosocial, community and state supportive services
  • Develop and implement care plan interventions 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 members and families as needed to ensure the member‘s needs and choices are fully represented and supported by the health care team

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:

  • Unrestricted RN license in the state of North Carolina
  • 4+ years of experience working within the community health setting or 2+ years of experience providing community-based care management to members receiving long-term care, personal care services, private duty nursing, or home health
  • Intermediate level of proficiency with Microsoft Office Suite
  • Resident of NC - in Gaston or Cleveland and counties
  • Willing or ability to travel, up to 50% of your time, in Gaston and Cleveland counties, NC, to visit Medicaid members in their homes and/or other settings, including community centers or providers‘ offices

Preferred Qualifications:

  • Bachelor of Science in Nursing (BSN)
  • CCM certification
  • Experience in managing populations with complex medical or behavioral needs
  • Experience working with Home Care Based Services
  • Experience working with members in community and home-based settings
  • Fluent in Spanish

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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