Bilingual Telephonic RN Case Manager, Maternal Health

UnitedHealth Group•Las Vegas, NV

5d•Remote

About The Position

At UnitedHealthcare, we are dedicated to simplifying the health care experience, fostering healthier communities, and eliminating barriers to quality care. This role significantly impacts the lives of millions by contributing to a more responsive, affordable, and optimized health care system. As a Telephonic Maternal Health Registered Nurse Case Manager, fluent in both Spanish and English, you will primarily serve our Medicaid members, focusing on the Spanish-speaking population. Your responsibilities will include acting as a liaison for pregnant or recently pregnant Medicaid members, ensuring they access appropriate care, conducting home and social assessments, and providing education to members and their families. The Maternal Health RN Case Manager coordinates care to support members' medical, behavioral, and socioeconomic needs, aiming to optimize service utilization and enhance care quality. An interest in working with the maternity population is crucial for this position. The role demands flexibility, adaptability, and patience in various situations. This is a remote position, allowing you to work from anywhere within the U.S., while adhering to a Pacific Standard Time (PST) work schedule.

Requirements

Current, unrestricted WA state or multi-state RN licensure
2+ years of Maternal clinical experience
1+ years of experience with MS Office, including Word, Excel, Outlook, and TEAMs
Intermediate level of computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
Designated, quiet workspace and access to install secure high-speed internet via cable/DSL in the home
Bilingual proficiency in English and Spanish (verbal and written)
Solid telephonic engagement and motivational interviewing skills
Adherence to a Pacific Standard Time (PST) work schedule

Nice To Haves

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
Experience with vulnerable subpopulations include pregnant/post-partum women with special health care needs, members with substance use disorders and members with other complex or multiple chronic conditions
Proven background in Managed Care
Reside in the state of Washington
Reside in the West Coast Region of the U.S. (WA, AZ, NM)

Responsibilities

Engage members telephonically to complete comprehensive, ongoing needs assessments to identify 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