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.
If you are located in or within commutable driving distance of Spring, TX area (Preferably in zip codes: 77373, 77073, 77067), you will have the flexibility to work remotely* as you take on some tough challenges.
This is a Field Based role with a Home-Based office.
Primary Responsibilities
Required Qualifications
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.
If you are located in or within commutable driving distance of Spring, TX area (Preferably in zip codes: 77373, 77073, 77067), you will have the flexibility to work remotely* as you take on some tough challenges.
This is a Field Based role with a Home-Based office.
Primary Responsibilities
- Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
- Utilize both company and community-based resources to establish a safe and effective case management plan for members
- Collaborate with patient, family, and healthcare providers to develop an individualized plan of care
- Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
- Manage care plan 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 patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team
- Utilize approved clinical criteria to assess and determine appropriate level of care for members
- Document all member assessments, care plan and referrals provided
- Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care
- Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan
- Accountable to understand role and how it affects utilization management benchmarks and quality outcomes
- Expect to spend about 75% of your time in the field visiting our members in their homes or in long - term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations
- 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.)
- More information can be downloaded at: http://uhg.hr/uhgbenefits
Required Qualifications
- Active and unrestricted RN license in the state of Texas
- 2+ years of experience working within the community health setting or in a healthcare role
- 2+ years of experience working in a community health, hospital, acute care, direct care or case management setting
- 2+ years of experience working with MS Word, Excel, Outlook
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
- Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- Valid US driver's license, access to reliable transportation, and the ability to travel up to 75% in this 'assigned region' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices
- Reside in or within commutable distance to Spring, TX area
- Bachelor's degree
- Background in managing populations with complex medical or behavioral needs
- Experience in electronic charting
- Experience with arranging community resources
- Prior field based work experience
- Pediatric experience
- Behavioral Health experience
- Reside in one of the following zip codes: 77373, 77073, 77067
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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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