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. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work. (sm)
UMR offers tailored programs designed to enhance clinical outcomes and reduce costs to customers. UMR offers best-in-class programs and care management services to help customers receive the right care at the right time in the right place.
In this role a Maternity Management Case Manager will educate expectant families, coach for lifestyle change when appropriate and screen for high risk situations. Telephonic interactions with members are structured around pregnancy and post-partum education and screening. Health coaching for behavior change and self-advocacy are also key tools in this role.
This is a work at home position, Monday-Thursday you will need to be able to work until 9:00PM – you could work 12:30-9:00PM or do a split shift like 8:00AM-12:00PM and 5:00PM-9:00PM. Friday is 8:00AM-4:30PM.
Effectively screens for high risk maternity situations
Coach and motivate program participants to take action to reduce risk of pregnancy and post-partum complications
Provide individualized member education
Utilize established standards of care to identify and address members’ gaps in care
Exercise clinically sound judgment using relevant information, expertise, and decision support tools when interacting with members
Educate and empower members to ensure treatment compliance, satisfaction of management of condition, and promote member advocacy
Work with members to set and achieve SMART goals
Accurate, concise and timely documentation of member assessments/interactions
Establish collaborative working relationships with members, providers, and customers
Demonstrate sensitivity to issues and show pro-active behavior in addressing customer/member needs
Ensure that sensitive member medical information is treated with respect and appropriate levels of confidentiality and adherence to HIPAA regulations.
Adhere to corporate requirements related to industry regulations/responsibilities
Achieve program productivity standards
This role is a telecommute role but you must be based in West Virginia and have an active and unrestricted RN license in the State of West Virginia.
- Current, unrestricted RN license in the state of West Virginia
- 5+ years clinical experience in obstetrics;
- Computer / typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
- Access to high speed internet from home
- Dedicated work space from home
- Ability to work evening hours until 9:00 pm
- Bilingual Spanish
- Case Management experience
- Certification in Case Management (CCM)
- Bachelor’s degree or greater
- Clinical experience in Prenatal Care
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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.
Job Keywords: Registered Nurse, Case Management, Telephonic, Virtual, Prenatal, Obstetrics, West Virginia, WV, Telecommute, bilingual Spanish, CCM, certified case manager