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. This is a Field-Based Role with a Home-Based Office
If you reside within Labette/Cherokee/Crawford Counties, KS you will have the flexibility to work in both the field as well as telecommute as you take on some tough challenges.
Primary Responsibilities: Assess, plan and implement care strategies that are individualized and directed toward the most appropriate level of care for Medicare and Medicaid members while proactively engaging the member to manage their own health and healthcare. Utilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detail-oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines. This is a high volume, high pace, customer service environment. Must be efficient, productive and thorough dealing with our members over the phone and in person. Must be strongly patient-focused and adaptable to changes. Proactively engage the member to manage their own health and healthcare using Motivational Interviewing Skills. Highly detailed charting on member's reported needs, medical and behavioral health history, current management of their health concerns and social determinacies of health needs and medication reconciliation. Manage the Transitions of Care for members when discharged from in-patient hospital stays and emergency room. Help member set goals and develop a care plan to achieve those goals and update their care plan regularly as they progress toward goals met. Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician and specialists. Identify and initiate referrals for social service programs; including financial, community resources, medical, behavioral health, psychosocial, community and state supportive services. Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members. Advocate for Persons as needed to ensure the Person has access to care. Provide clinical support for nonclinical staff of the team, in way of education on medications, diagnosis and disease specific education. Collaborate with interdisciplinary team to ensure appropriate services and identify needs. Strong computer and software navigation skills are critical. Be flexible, adaptable and, above all, patient in all types of situations. Required Qualifications: Current, unrestricted RN license in the state of Kansas. 2+ years of experience working in the community as a RN in acute inpatient care, long-term care, home health, hospice, public health, behavioral health, or assisted living. Intermediate level of proficiency working with MS Word, Excel and Microsoft Outlook. Ability to travel up to 75% of the time with reliable transportation, with a current and non-restricted state of Kansas Driver's License and State-required insurance. Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI). Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Preferred Qualifications: Bachelor's degree in nursing. A background in managing Medicaid and Medicare populations with complex medical and behavioral needs. Experience with arranging community resources. Experience with electronic charting. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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