HSS Complex Care Manager RN

2 weeks ago


Richmond, Virginia, United States UnitedHealth Group Full time
Job Title: HSS Complex Care Manager RN

At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone.

We're seeking a skilled and compassionate HSS Complex Care Manager RN to join our team. As a key member of our care management team, you will play a critical role in facilitating, promoting, and advocating for the ongoing self-sufficiency and independence of our members.

Key Responsibilities:
  • Engage members and families to coordinate services, community resources, and treatment needs
  • Deliver a holistic approach to coordinated care based on the member's needs using a person-centered philosophy
  • Identify early risk factors and conduct ongoing assessments and documentation
  • Create, review, and revise care plans and focus on a holistic approach
  • Function as an advocate for members
  • Collaborate with members' primary care physicians to deliver and coordinate necessary services
  • Build relationships with members and their families, assisting them with coordination of health choices
  • Ensure cases are documented in a timely manner
  • Coordinate with other state agencies, community resources, and providers
  • Act as the primary point of contact for members and the Interdisciplinary Care Team (ICT)
Requirements:
  • Current, unrestricted RN licensure in the state of Virginia
  • 2+ years of recent experience in case management, home care, long-term care, and/or experience in acute or rehab care settings
  • 1+ years of experience directly working with individuals with complex medical or behavioral needs
  • Basic level of proficiency in Microsoft Office suite applications (Word, Excel, Outlook/Email, Internet), including the ability to type and talk at the same time and toggle between multiple applications
  • Willingness to travel (up to 25%) within a designated geographical region of Virginia for home/site visits, as well as access to reliable transportation and proof of automobile insurance for vehicle being used
  • Proven ability to perform other delegated duties as assigned
  • Broadband internet capability from home office
Preferred Qualifications:
  • CCM certification
  • Managed care/case management experience
  • Experience with Medicare and/or Medicaid
  • Experience with complex populations

We are 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.



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