RN Care Manager - Remote in Fayetteville, NC

Job description

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.

In this Care Manager role, you 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.

We offer our established staff the option to work 4 10-hour days (7 am-6pm) in lieu of the traditional 8 hour 5/day week schedule. *After employee has demonstrated competency with the role and are able to meet metrics, etc.

Additionally, there is no "on-call" or weekend requirements.

If you are located in Fayetteville, NC or surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary 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

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.

Required Qualifications

Current, unrestricted independent licensure as a Registered Nurse

2+ years of clinical experience

1+ years of experience with MS Office, including Word, Excel, and Outlook

Reside in Mecklenburg, NC, or surrounding areas (new question request submitted)

Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

Reliable transportation and the ability to travel up to 25% within assigned territory to meet with members and providers (new question request submitted)

Preferred Qualifications

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

Physical Requirements

Ability to transition from office to field locations multiple times per day

Ability to navigate multiple locations/terrains to visit employees, members, and/or providers

Ability to transport equipment to and from field locations needed for visits (ex. laptop, etc.)

Ability to remain stationary for long periods of time to complete computer or tablet work duties

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 - $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Who can apply

Review the original listing for work authorization, qualifications and employer requirements.