Healthcare Professional

4 days ago

Fort Worth, Texas, United States UnitedHealth Group Inc Full time
About UnitedHealth Group

UnitedHealth Group Inc is a global organization that delivers care and health solutions to millions of people around the world. We strive to help people live healthier lives by connecting them with the care, pharmacy benefits, data, and resources they need.

Our work at UnitedHealth Group has a direct impact on improving health outcomes for our patients. We achieve this by leveraging technology to facilitate seamless care coordination and provide support to those who need it most.

We are committed to fostering an inclusive culture where diversity is celebrated and everyone feels valued. Our team members embody this commitment through their dedication to delivering high-quality care and exceptional customer service.

About the Role

This is an exciting opportunity for a highly motivated and experienced healthcare professional to join our team as a Case Manager. As a Case Manager, you will be responsible for driving referral management and facilitating care transitions for our patients. You will collaborate closely with primary care physicians, specialists, and clinical pharmacists to ensure that our patients receive the best possible care.

You will play a critical role in integrating pharmacy management, care coordination, utilization management, and care transition management to deliver comprehensive patient care. Your expertise and experience will enable you to navigate complex medical conditions and develop effective strategies to improve patient outcomes.

This role offers a unique blend of autonomy and collaboration. As a remote worker, you will have the flexibility to work from home while being part of a dynamic team that values open communication and mutual support.

Responsibilities
  1. Work with a care team to support patient engagement for care transitions, care coordination, and medication therapy management
  2. Facilitate inpatient discharge information to care teams and primary care offices using appropriate technology tools
  3. Consult with patients who have had an inpatient discharge; facilitate scheduling transitions of care follow-up appointments with PCP and/or specialists
  4. Consult with patients who have had an ED discharge; facilitate scheduling follow-up appointments as needed; review post-discharge information with patients and educate on alternative sites of care
  5. Engage high-risk patients telephonically to schedule appointments with Clinical Pharmacist for Comprehensive Medication Reviews
  6. Prepare patient cases in workflow management platform for Clinical Pharmacist patient engagement
  7. Consult with patients identified as needing a specialist referral to recommend high-quality, lower-cost specialists
  8. Support high-risk patients by scheduling PCP and/or specialist appointments on their behalf
  9. Provide benefit information and resources to patients upon request
  10. Communicate with provider offices to problem-solve patient issues and/or facilitate communication between practice staff and care team
  11. Notify PCP and care team Clinical Pharmacist of relevant clinical information gathered during calls to patient that may affect the patient's disease state or medication regimen
  12. Develop strong relationships with provider offices participating with Practice Extend program by communicating program goals, patient needs, and value-based opportunities
  13. Facilitate and/or lead meetings with provider offices for initial onboarding meetings and ongoing collaboration meetings
About the Team

We are seeking an experienced healthcare professional with a passion for delivering high-quality care and exceptional customer service. As a member of our team, you will have the opportunity to work in a dynamic environment that values innovation, collaboration, and continuous learning.

We offer a comprehensive benefits package, including competitive base pay, paid time off, medical plan options, dental and vision insurance, 401(k) savings plan, education reimbursement, employee discounts, and more.

Requirements
  • Bachelor's Degree (or higher)
  • Unrestricted, compact licensure as a Registered Nurse for applicable states within our program
  • 4+ years of case management and/or care coordination experience
  • 3+ years of experience in managing populations with complex medical or behavioral needs
  • Intermediate level of proficiency with Microsoft Office, Outlook, and Teams applications and ability to quickly learn clinical applications and multi-system management
  • Intermediate level of ability to type and navigate a Window-based environment simultaneously
  • Able to travel up to 10% to local office(s) to accommodate business needs
  • Ability to work a flexible schedule, including evenings up to 7pm, to accommodate business needs
Location and Salary

This role is based in TX, AZ, and CO, with the option to work remotely. The salary range for this position is $58,300 to $114,300 per year.

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