Maternity and NICU RN Case Manager - MD Market

UnitedHealth Group • Baltimore, MD

288d • $28 - $56 • 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. The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. If you reside within the state of Maryland, you will have the flexibility to remotely as you take on some tough challenges.

Requirements

• Current, unrestricted independent licensure as a Registered Nurse in Maryland
• 3+ years of experience in Labor and Delivery, Mother/Baby or NICU in clinical setting
• 2+ years of Clinical Experience Acute Care
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Reliable transportation and the ability to travel within assigned territory to meet with members and providers

Nice To Haves

• BSN, Master's Degree or Higher in Clinical Field
• CCM certification
• 1+ years of community case management experience coordinating care for individuals with complex needs
• Experience working in team-based care
• Background in Managed Care

Responsibilities

• Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of 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 following ER visit, inpatient, etc.
• 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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree