NICU Case Manager RN Remote from a Compact State

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Join us and help people live healthier lives while doing your life’s best work as a telephonic NICU case manager.

The purpose of the Neonatal Resource Services (NRS) Case Management program is to facilitate appropriate health care services (right care/right provider/right medication and right lifestyle) across the continuum of care as well as to monitor and evaluate options and services to meet an individual’s needs to promote quality, cost effective outcomes.

The goal of NRS is to perform timely discharge planning with the families in order to prepare the families for transition home and provide training to prevent readmissions. NRS works with families who have newborns who require more than routine newborn care or have intensive care needs. We deliver value for consumers of health care, payers or employers who purchase health care, as well as providers who deliver health care. Our Case Management program is a key initiative to help us realize our mission of empowering consumers to take ownership of their health: ‘To help people live healthier lives and to help make the health system work better for everyone’.

If you are located in a Compact State, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Improve the health outcomes and satisfaction of consumers by providing consumer-centric care
• Conduct initial and follow-up assessments within designated timeframes on infants identified as having high risk complex case management needs (assessment areas include clinical, behavioral, social, environmental and financial)
• Holistically assess the infant’s current medical and family social circumstances to identify any gaps or barriers that would impact adherence with the prescribed treatment plan
• Collaborate with family, caregivers, and healthcare providers to ensure that a well-coordinated treatment plan is established and continuity of care is maintained
• Prioritize care needs, set goals and develop a plan of care that also addresses gaps and/or barriers to care and uses evidence-based practice as the foundation
• Ensure quality of care issues are identified, acted upon and quickly resolved
• Track the infant's health status and progress in achieving clinical and caregiver goals
• Provide education, information, direction, and support related to identified care goals
• Document assessments, interventions, and follow-up on Case Management activities
• Regularly assess the effectiveness and quality of services provided to patients by analyzing outcomes (clinical, functional, and financial)
• Maintain a focus on timely, quality customer service
• Maintain a focus on the customer service through policy and program decisions and consider impact of these activities on the members
• Facilitate problem resolution with members, providers, and other agencies or entities as needed
• Promotes cost-effective health care consistent with adding value for consumers, customers and business
• Serves as consumer advocate and maintains consumer privacy, confidentiality and safety
• Adheres to ethical, legal/regulatory and accreditation standards
• Participates in special projects, initiatives, and other job duties as assigned
  

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:

• Unrestricted Compact RN license in your home state
• Case Management Certification (CCM) within 24 months of hire if no prior case management experience; within 12 months of hire with one year or more case management experience
• 3+ years of clinical experience in a Neonatal Intensive Care Unit
• Proficiency in software applications that include, but are not limited to, Microsoft Word and Microsoft Outlook

Preferred Qualifications:

• Bachelor’s Degree or higher
• Case Management Certification (CCM)
• Case management/managed care experience
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

*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 salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.