[Hiring] Complex Case Manager @UnitedHealth Group

Role Description

At UnitedHealthcare, we are 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 will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

• Provide Complex Care Management for Idaho members through close communication by phone.
• Support members with condition education, medication reviews and connections to covered benefits, community resources and long-term services and supports, when applicable.
• Assist members with the transition from a care facility back to their home.
• Support NCQA Care Management requirements through UHC’s Care Management program, including assessment, care planning, member outreach, coordination, monitoring and documentation.
• Collaborate with each member’s assigned Care Coordinator to align outreach, care plan activities, service coordination, follow-up needs and escalation pathways.
• Meet Idaho-specific contractual requirements related to the delivery of care management and member-centered coordination.
• Support Idaho health plan in obtaining NCQA certification.

Qualifications

• Current, unrestricted RN in the applicant’s state of residence.
• 2+ years clinical experience in a hospital, acute care, home health/hospice, direct care or case management.
• 1+ years of experience directly working with individuals with special healthcare needs.
• Intermediate level of proficiency with computer/typing to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications.
• Access to high-speed internet from home.
• Ability to support Idaho members while working remotely from anywhere within the U.S.; Idaho residency is not required.

Requirements

• Bachelor’s degree (preferred).
• Certification in Case Management (CCM) (preferred).
• 2+ years of clinical experience in a behavioral health setting (preferred).
• Case Management experience (preferred).
• Home care/field-based case management experience (preferred).
• Medicaid, Medicare, Managed Care experience (preferred).
• Experience with vulnerable subpopulations including children and youth with special health care needs, adults with serious mental illness, members with substance use disorders and members with other complex or multiple chronic conditions (preferred).

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).
• Hourly pay for this role will range from $29 - $52 per hour based on full-time employment.

Company Description

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.

• UnitedHealth Group is an Equal Employment Opportunity employer under applicable law.
• Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.
• UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.