Health Engagement Nurse
23 hours ago
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.
- 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.
- 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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