Health Engagement Nurse

23 hours ago


Baltimore, Maryland, United States UnitedHealthcare Full time
About the Role

At UnitedHealthcare, we're committed to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. As a Health Engagement Nurse - Clinical Program Manager, you'll play a critical role in promoting engagement in clinical/disease management programs, helping to improve member healthcare decisions.

Key Responsibilities
  • Health Education and Condition Management: Educate members on health education and condition management, collaborating with OptumHealth to provide formal and informal education, as well as plan specifics and member resources.
  • Referral and Program Development: Refer employees to available clinical programs, including premium designated physicians, and create, manage, and implement employer-specific programs based on employer needs.
  • Analytics and Strategic Planning: Monitor and analyze customer-specific health analytic data, developing targeted data-driven strategic plans and programs, and providing support to clinical programs.
  • Clinical Interface and Community Outreach: Interface with facilities and providers for resolution of issues concerning members, benefit interpretation, program definition, and clarification, and leverage knowledge of community resources for referral and community outreach.
Requirements
  • Registered Nurse: Possess an active and unrestricted license for the state of residence.
  • Clinical Experience: Have 3+ years of clinical experience in a hospital, acute care, home health/hospice, direct care, or care management setting.
  • Presentation and Analytical Skills: Demonstrate solid presentation skills with proven experience delivering group presentations and 1:1 coaching, and be proficient in Microsoft Word, PowerPoint, and Excel, including the ability to navigate a Windows environment.
Preferred Qualifications
  • Bachelor's Degree in Nursing: Possess a Bachelor's degree in Nursing.
  • Case Management Experience: Have experience in case management and/or Case Management Certification (CCM).
  • Program Management Experience: Have 3+ years of experience in managed care with significant program management experience.
  • Communication and Data Analysis: Be comfortable with individual and group presentations up to 50-100, and possess familiarity in data analysis (utilization/program outcomes) and reporting.


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