Rn Case Manager

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.

As the RN Case Manager for Maternity and / or NICU, you will have a panel of members with high-risk pregnancies and / or NICU babies with complex medical / behavioral needs.

You will provide support and address barriers to care and SDOH with the goal to improve health outcomes.

To promote healthy pregnancy, delivery, and postpartum outcomes for both mother and baby, it is essential to provide evidence-based, trimester-specific, and postpartum education.

This includes assistance in developing a birth plan, accessing value-added benefits, and understanding covered services, including Medicaid postpartum coverage.

Additionally, support should be given for accessing contraceptive care based on family planning needs, conducting mental health and substance use disorder (SUD) screenings with referrals to treatment when necessary, and coordinating with obstetric and other providers for appointment assistance, communication, and advocacy.

This is a Field-Based Role with a Home-Based Office

If you are located in Finney, Gray, Haskell and Ford Counties, Kansas , you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities :

• Provide evidenced based trimester specific and postpartum education to promote a healthy pregnancy, delivery, and postpartum outcomes for mother and baby
• Create a positive experience and relationship with the member and your team
• Help member set goals and develop a care plan to achieve those goals
• Proactivity engages the member to manage their own health and healthcare
• Support SDOH needs
• Perform outreach to providers, hospitals, Members, and clinics
• Attending community events
• Able and willing to travel within the assigned region per the business needs
• Performs all other duties assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.

Some of our offerings include :

• 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

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 in Kansas
• 2+ years of experience working within the maternal and child health population
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Located in the state of Kansas
• Ability to travel up to 75% of time in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers offices
• 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 :

• Knowledge of the culture and values of community
• Case Management experience
• Background in Managed Care
• Bilingual (Spanish)
• All Telecommuters 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.

Diversity creates a healthier atmosphere : UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

RPO #Red