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Maternity and NICU Case Manager - Telecommute in Milwaukee County, WI, 5000 Sign-On Bonus for Extern

UnitedHealth Group
Phoenix, Arizona
Closing date
Aug 24, 2022

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Case/Care Manager (CM)
Neonatal ICU (NICU)
Position Type
Manager / Leader
Full Time
Work Setting
For Profit
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UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

Maternity and NICU Case Manager The more health care changes, the more certain values count. Like quality, patient-centric care, compassion and a dedication to going the extra mile. In this role a Maternity and NICU Case Manager will educate families, coach for lifestyle change when appropriate and screen for high risk situations. Telephonic interactions with members are structured around pregnancy, post-partum and NICU education and screening. Health coaching for behavior change and self-advocacy are also key tools in this role.

This is a work from home position with 25% travel working with Pregnant, Postpartum and NICU members. Employee must reside in Milwaukee, WI and have an active and unrestricted RN license in the State of Wisconsin.

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

Primary Responsibilities:
  • Provide case management services to high-risk pregnant, post-partum and NICU members
  • Coach and motivate member to take action to reduce risk of pregnancy and post-partum complications
  • Establish trust and build long term relationships with pregnant and postpartum mothers
  • Link member / family to appropriate community resources including but not limited to, information / referral to sources of financial assistance, transportation, support groups, and other community services
  • Provide individualized member education on high-risk pregnancy, healthy birth outcomes and interconception health
  • Support the care needs of the mother-baby dyad during and after a NICU admission
  • Support safe discharge home and transition of care post-discharge and reduce NICU readmissions for our smallest members
  • Provide information about common comorbidities, other health conditions that may affect NICU baby's discharge planning and transitions of care
  • Modify the plan of care, as appropriate, based upon reassessment, the member need for further care or services and the achievement of identified goals
  • Utilize established standards of care to identify and address members' gaps in care
  • Participate in Maternity rounds with the Medical Director and discussing cases as needed
  • Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
  • Visit members in their homes and/or other settings, including community centers, hospitals or providers' offices

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 Wisconsin
  • 3+ years of clinical experience in obstetrics, NICU or Pediatrics
  • Demonstrated intermediate skills in Microsoft Office Suite
  • Demonstrated computer/typing proficiency to enter/retrieve data in electronic medical records
  • Proven experience with email, internet research, use of online calendars and other software applications
  • Access to high-speed internet from home
  • Dedicated workspace from home
  • Resident of Wisconsin
  • Ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers or providers' offices
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:
  • Bachelor of Science in Nursing (BSN)
  • Certification in Case Management (CCM)
  • Clinical experience in Prenatal Care
  • Experience with Medicaid members
  • Case Management experience
  • Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
  • Bilingual

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

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.

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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