Field HSS Clinical Coordinator RN – Maternity – Wyandotte County, KS & Surrounding Areas

UnitedHealth Group•Kansas City, KS

1d•Hybrid

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As the RN Case Manager for Maternity and/or NICU, you will have a panel of members with high-risk pregnancies and/or NICU babies with complex medical/behavioral needs. You will provide support and address barriers to care and SDOH with the goal to improve health outcomes. To promote healthy pregnancy, delivery, and postpartum outcomes for both mother and baby, it is essential to provide evidence-based, trimester-specific, and postpartum education. This includes assistance in developing a birth plan, accessing value-added benefits, and understanding covered services, including Medicaid postpartum coverage. Additionally, support should be given for accessing contraceptive care based on family planning needs, conducting mental health and substance use disorder (SUD) screenings with referrals to treatment when necessary, and coordinating with obstetric and other providers for appointment assistance, communication, and advocacy. This is a Field-Based Role with a Home-Based Office. If you reside within the Wyandotte County, KS or surrounding areas, you will have the flexibility to work in both the field as well as telecommute as you take on some tough challenges.

Requirements

Current, unrestricted independent licensure as a Registered Nurse in Kansas
Must have resided within the local community for 2+ years
2+ years of experience working within the maternal and child health population
Intermediate level of proficiency MS Office, including Word, Excel, and Outlook
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Must be able to comply with UHG Telecommuting Policy and have a designated workspace inside the home with access to high-speed internet availability
Ability to travel up to 75% of time in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices
Access to reliable transportation & valid US driver’s license

Nice To Haves

Case Management experience
Experience with electronic charting
Background in Managed Care
Knowledge of the culture and values of community
Bilingual (Spanish)

Responsibilities

Provide evidenced based trimester specific and postpartum education to promote a healthy pregnancy, delivery, and postpartum outcomes for mother and baby
Collaborate with your team, the member, their family/support group, and healthcare providers
Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan
Help member set goals and develop a care plan to achieve those goals
Adhere to detailed, specific documentation requirements in the member’s health record
Proactivity engages the member to manage their own health and healthcare
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services and mental health and substance use treatment
Perform outreach to providers, hospitals, Members and clinics
Attending community events
Able and willing to travel within the assigned region per the business needs
Utilize solid skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines
Performs all other duties assigned

Benefits

Competitive base pay
Full and comprehensive benefit program
Performance rewards
Management team who demonstrates their commitment to your success
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan
Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
Incentive and recognition programs
Equity stock purchase
401k contribution