Nursing Facility Care Manager - Washington County VA Markets

UnitedHealth Group•Marion, VA

9d•$23 - $42•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 The Nursing Facility Care Manager is responsible for facilitating, promoting, and advocating for the enrollees’ ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients in Nursing Facilities. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee’s representative or family members to ensure the ongoing mental and physical health of those natural supports. The Nursing Facility Care Manager collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Nursing Facility Care Manager will be traveling into nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Nursing Facility Care Manager actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees’ representatives. The Nursing Facility Care Manager act as liaison between the Health Plan, the Commonwealth, enrollees, and their families. The Nursing Facility Care Manager follows established professional standards of care, Commonwealth guidelines and policy and procedures. This is a field-based position visiting Nursing Facilities based in Washington County, Grayson County and Smyth County, VA Markets. For consideration, you must reside within a commutable distance of Washington County, Grayson County and Smyth County VA Markets Alleghany or Rockbridge Counties in VA. If you reside within a commutable distance of Washington, Grayson and Smyth County, VA, you will have the flexibility to work remotely as you take on some tough challenges. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree
3+ years of care coordination or behavioral health experience and/or work in a healthcare environment
1+ years of experience with MS Office, including Word, Excel, and Outlook
Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers
Driver’s license and reliable transportation and the ability to travel within assigned territory to meet with members and providers

Nice To Haves

CCM certification
Experience working with Medicaid / Medicare population
Experience working in team-based care
Long term care / geriatric experience
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 or Skilled Nursing Facility (SNF) admission
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