Maternity and NICU RN Case Manager - Telecommute from anywhere in LA

For those who want to invent the future of health care, here is your opportunity. We're going beyond basic care coordination to health programs integrated across the entire continuum of care.

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly member-focused and adaptable to change.

If you are located anywhere in LA, you will have the flexibility to telecommute* as you take on some tough challenges.

This position could include some community based work that could require you to travel occasionally or more frequently in the future to member homes around your local area.

Primary Responsibilities:

• Making outbound calls to assess members' current health status
• Working with the complex maternity care needs
• Identifying gaps or barriers in treatment plans
• Providing patient education to assist with self-management
• Interacting with Medical Directors, providers, internal and external partners on challenging cases
• Coordinating care for high risk maternity members
• Making referrals and connecting members to community resources
• Coordinating services as needed (home health, DME, etc.)
• Educating members on disease processes
• Encouraging members to make healthy lifestyle changes
• Documenting and tracking findings
• Develop onsite collaboration with the top two area delivering hospitals to facilitate case management referrals and collaborative discharge planning

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:

• Current, unrestricted RN license in the State of Louisiana
• 3+ years of experience in a hospital setting, acute care, direct care experience as an RN and/or experience as a telephonic Case Manager for an insurance company
• 2+ years of High-Risk OB clinical nursing experience + current/prior position as a Case Manager OR 3+ years of High-Risk OB clinical nursing experience
• Intermediate level of proficiency with Microsoft Office Suite, with the ability to navigate a Windows environment
• Computer / typing proficiency to enter/retrieve data in electronic clinical records; experience with email, Internet research, use of online calendars and other software applications
• Experience communicating complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

Preferred Qualifications:

• Background in managed care
• Medicaid experience
• Case Management experience
• Certified Case Manager (CCM)
• Experience working with chronic illness and complex care needs population
• Experience in utilization review, concurrent review and/or risk management
• Bilingual Spanish speaking
• Experience with HIV population
• Psychiatric or Behavioral Health experience
• Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Colorado Residents Only: The hourly range for Colorado residents is $20.77 to $36.88. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives

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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