Healthy First Steps Case Manager - Remote with state of KS only

Company: UnitedHealth Group
Location: San Jose
Posted on: May 28, 2023

Job Description:

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) -

We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!

If you are located within the state of Kansas, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities:

• 
  
• Make outbound calls and receive inbound calls to assess members' current health statusv
  
• Identify gaps or barriers in treatment plans
  
• Provide patient education to assist with self-management
  
• Make referrals to outside sources
  
• Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
  
• Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
  
  
  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 patient-focused and adaptable to changes.
  
  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 employment
    
  • 3+ years of experience in a hospital, acute care or direct care setting
    
  • Maternity and NICU experience
    
  • Able to type and can navigate a Windows based environment
    
    
    Preferred Qualifications:
    
    • 
      
    • BSN
      
    • Certified Case Manager (CCM)
      
    • Case management experience
      
    • Experience or exposure to discharge planning
      
    • Experience in utilization review, concurrent review or risk management
      
    • Experience in a telephonic role
      
    • A background in managed care
      
      
      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 employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy -
      
      At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. - -
      
      
      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.

Keywords: UnitedHealth Group, San Jose , Healthy First Steps Case Manager - Remote with state of KS only, Executive , San Jose, California