Remote Hybrid Maternal Child RN Care Manager – East NC

UnitedHealthcare

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Requisition Number: 2196634
Job Category: Medical & Clinical Operations
Primary Location: Washington, NC
(Remote considered)

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 to start Caring. Connecting. Growing together. 

You push yourself to reach higher and go further.  Because for you, it’s all about ensuring a positive outcome for members.  In this role, you’ll work in the field and coordinate the care needs for members in the local community. And at every turn, you’ll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our members.

In this Care Manager role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.

If you are located in East NC in Pitt or Beaufort counties or surrounding area, you will have the flexibility to work remotely* as you take on some tough challenges.

   

Primary Responsibilities: 

  • Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care
  • Identify and initiate referrals for both healthcare and community-based services; including but not limited to financial, psychosocial, community and state supportive services
  • Develop and implement care plan interventions throughout the continuum of care as a single point of contact
  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
  • Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team
  • Be able to provide field based visits to members locally (up to 25%), up to 120 miles round trip (60 miles one way) (includes mileage reimbursement)

  

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 independent licensure as a Registered Nurse
  • 2+ years of clinical experience
  • 1+ years of experience with MS Office, including Word, Excel, and Outlook
  • Reliable transportation and the ability to travel within assigned territory up to 25% to meet with members and providers
  • Reside within the Pitt or Beaufort counties or surrounding area

 

Preferred Qualifications:

  • BSN, Master’s degree or Higher in Clinical Field
  • CCM certification
  • 1+ year(s) of community case management experience coordinating care for individuals with complex needs
  • Experience providing community-based care management to maternity and pediatric members
  • Experience working with both maternity and pediatric populations
  • Experience in managing populations with complex medical or behavioral needs
  • Experience working with members in community and home-based settings
  • Fluent in Spanish

 

Physical Requirements:

  • Ability to transition from office to field locations multiple times per day
  • Ability to navigate multiple locations/terrains to visit employees, members and/or providers
  • Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)
  • Ability to remain stationary for long periods of time to complete computer or tablet work duties

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy