Maternal Child RN Care Manager - Remote in NC

UnitedHealth Group•Raleigh, NC

7d•$29 - $52•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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You push yourself to reach higher and go further. Because for you, it’s all about ensuring a positive outcome for members. In this role, you’ll work in the field and coordinate the care needs for members in the local community. And at every turn, you’ll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our members. In this Care Manager role, 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. If you reside in North Carolina, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

Unrestricted RN license in the state of North Carolina
Must be a resident of NC
4+ years of experience working within the pediatric/maternity community setting or 2+ years of experience providing community-based care management to pediatric/maternity members
The ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers or providers' offices
Intermediate skills in Microsoft Office Suite
Willing to work with both pediatric and maternity populations
Driver’s License and access to a reliable transportation

Nice To Haves

Bachelor of Science in Nursing (BSN)
CCM certification
Experience in managing populations with complex medical or behavioral needs
Experience working with both maternity and pediatric populations
Experience working with members in community and home-based settings
Fluent in Spanish

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
Ability to provide field-based visits to members locally (up to 25%25), up to 120 miles round trip (60 miles one way) (includes mileage reimbursement)