Clinical Care Manager, Pierce or Thurston County, WA - Remote

UnitedHealth Group•Olympia, WA

5d•$40 - $54•Remote

About The Position

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As a Clinical Care Manager working with Medicaid members, you'll wear many hats, and work in a variety of environments. You'll interact with members while incarcerated or leaving incarceration - with new medications or diagnoses. The clinical care manager’s primary focus will be to provide Reentry Targeted Case Management (rTCM) services. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressful, more effective health care system for us all. This position requires clinical care coordination to be provided to Medicaid members who are currently and formerly incarcerated virtually, telephonically, or (potentially) in-person. This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. If you are located in Thurston or Pierce County, WA, areas, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

Bachelor’s degree or greater
Current, unrestricted RN license in Washington or current, licensed behavioral health clinician (LICSW, LMHC, LMHCA, LMFTA, certified or licensed agency affiliated counselor)
2+ years of experience directly working with individuals with special healthcare needs
2+ years clinical experience in a hospital, acute care, home health/hospice, direct care or case management
Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
Experience with Microsoft Excel (ability to create spreadsheets, input data entry), Microsoft Word (creating and editing documents) and Microsoft Outlook (send/receive emails)
Access to high-speed internet from home
Dedicated workspace from home
Driver’s License, access to reliable transportation, and the ability to travel up to 10%25 locally, to visit client and/or carceral sites within designated area
Reside in Thurston or Pierce County, WA, or close surrounding areas

Nice To Haves

Case Management experience
Certification in Case Management (CCM)
Home care / field-based case management experience
Behavioral Health experience
Carceral facility experience
Medicaid, Medicare, Managed Care experience
Experience with members with substance use disorders and members with other complex or multiple chronic conditions
Familiarity with the resources available in the local community
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

Provide a complete continuum of quality care through close communication with members via phone interaction or in-person interaction
Support members with condition education, medication reviews and connections to resources such as Home and Community Based Services (HCBS)
Assist members with the transition from a carceral facility back to the community via Health Assessment and Care Planning
Partner with care team (correctional facilities, community providers, internal staff) to complete care plans and warm handoff
Improve health and self-management of conditions
Reduce inappropriate emergency department utilization, preventable hospital readmissions, and reduction in recidivism
Provide member education on Medicaid benefits, treatment options, and comprehensive services
May participate in community events related to scope of work
Meet NCQA Population Health Management Standards
Meet state-specific contractual requirements related to the delivery of care management