[Hiring] Maternal Health Case Manager @UnitedHealth Group

Role Description

As a Maternal Registered Nurse Case Manager, you will act in a liaison role with Medicaid members who are pregnant or were recently pregnant to ensure appropriate care is accessed as well as to provide home and social assessments and member and family education. RN Case Manager will coordinate care that focuses on supporting members’ medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improve quality of care. Interest in learning to work with maternity population is important for this role. You’ll need to be flexible, adaptable and, above all, patient in all types of situations.

If you reside in the state of Washington, preferably the Greater Seattle or Tacoma area, you will have the flexibility to work remotely* as you take on some tough challenges.

• Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
• Develop and implement person-centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
• Support proactive discharge planning and manage/coordinate care transition
• 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

Qualifications

• Current, unrestricted RN licensure in the state of Washington
• 2+ years of Maternal clinical experience
• 1+ years of experience with MS Office, including Word, Excel, Outlook, and TEAMs
• Designated, quiet workspace and access to install secure high-speed internet via cable/DSL in the home
• Reside in the state of Washington

Requirements

• CCM certification
• 1+ years of Case Management experience coordinating care for individuals with complex needs
• Experience working in team-based care
• Experience with NICU and/or Pediatric populations
• Background in Managed Care
• Bilingual: English and Spanish

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 $40 to $54 per hour based on full-time employment