Field Based Maternal / Adult Health RN - Telecommute in Boston, MA - $5000 Sign on Bonus - 2030012

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

You push yourself to reach higher and go further. Because for you, it’s all about ensuring a positive outcome for patients. In this role, you’ll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you’ll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.

As a Maternal/Adult RN Health Care Coordinator, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member’s needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.

If you are located within commutable distance from Boston, MA, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Manage highly complex members as part of an inter-disciplinary care team approach in collaboration with Care Coordinators (CCs), Community Health Workers (CHWs), OB providers, behavioral health providers, etc.

Making outbound calls to assess members' current health status – caseload to include maternity and adult members

Consult with care team to address specialty care services, community-based resources, and other member complex care needs

Working with adults with complex care needs including maternity care needs

Identifying gaps or barriers in treatment plans

Providing patient education to assist with self-management

Interacting with Medical Directors, providers, internal and external partners on challenging cases

Coordinating care for high risk maternity and adult members

Making referrals and connecting members to community resources

Coordinating services as needed (home health, DME, etc.)

Educating members on disease processes

Encouraging members to make healthy lifestyle changes

Documenting and tracking findings

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 RN license in the State of Massachusetts

4+ years of experience in a community health setting, hospital setting, acute care, direct care experience as an RN and / or experience as a telephonic Case Manager for an insurance company

1+ years of OB clinical nursing or maternity health experience

1+ years of experience working with MS Word (create and edit) and Outlook (email and calendar)

Ability to travel in assigned region to visit members in their homes and/or other settings, including community centers, hospitals, or providers' offices

Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:

BSN or health care related degree

Certified Case Manager (CCM)

A background in managed care

Medicaid experience

Case Management experience

Experience working with chronic illness and complex care needs population

Experience in utilization review, concurrent review and / or risk management

Bilingual

Psychiatric or Behavioral Health experience

Excellent Communication and Writing skills

Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action

Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)