[Hiring] RN Care Manager @UnitedHealth Group

Role Description

In this Care Manager role, you 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.

We offer our established staff the option to work 4 10-hour days (7 am-6pm) in lieu of the traditional 8 hour 5/day week schedule. Additionally, there is no “on-call” or weekend requirements.

If you are located in Fayetteville, NC or surrounding areas, 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.

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.
• Reside in Mecklenburg, NC, or surrounding areas.
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI).
• Reliable transportation and the ability to travel up to 25% within assigned territory to meet with members and providers.

Preferred Qualifications

• BSN, Master's Degree or Higher in Clinical Field.
• CCM certification.
• 1+ years of community case management experience coordinating care for individuals with complex needs.
• Experience working in team-based care.
• Background in Managed Care.

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, etc.).
• Ability to remain stationary for long periods of time to complete computer or tablet work duties.

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 $29.00 - $52.00 per hour based on full-time employment.