UnitedHealth Group-posted 2 months ago
$28 - $50/Yr
Full-time • Mid Level
Remote • Olympia, WA
5,001-10,000 employees
Insurance Carriers and Related Activities

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. As a Case Manager working with Medicaid members you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting members with safe, effective transitions from care environments to where they live. 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 stressed, more effective health care system for us all. Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve. What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. If you are located in or within commutable driving distance to Kitsap, Mason, Thurston or Lewis Counties in Washington, you will have the flexibility to telecommute as you take on some tough challenges.

  • 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 Health Aides or Meals on Wheels
  • Assist members with the transition from a care facility back to their home
  • May require some field work- meeting members in homes, facilities if difficult to engage telephonically or at the request of management
  • Meet NCQA Population Health Management Standards
  • Meet state-specific contractual requirements related to the delivery of care management
  • Current, unrestricted RN or behavioral health license in State of Washington
  • 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
  • Computer/typing proficiency 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
  • Reliable transportation, a valid driver's license, and the ability to travel up to 50% within a designated territory
  • Reside in or within commutable driving distance to Olympia, Port Orchard, Shelton, or Chehalis Counties in Washington
  • Bachelor's degree or greater
  • Certification in Case Management (CCM)
  • 2+ years of clinical experience in a behavioral health setting
  • Case Management experience
  • Home care/field-based case management experience
  • Medicaid, Medicare, Managed Care experience
  • Experience with vulnerable subpopulations include 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
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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