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NICU Case Manager - Remote
<p style="text-align:center;"><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>$5,000 Sign On Bonus for External Candidates</strong></span></p><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">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 optimized. Ready to make a difference? Join us to start <strong>Caring. Connecting. Growing together.</strong></span></p><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Are you ready for your next challenge? Discover it here at UnitedHealth Group and help us reinvent the health system. We're going beyond basic care, providing integrated health programs with a member-centric focus. The challenge is ensuring we deliver the right care at the right time. When you join us as an NICU RN Case Manager, you'll be making a difference in peoples' lives and will be responsible for discharge planning, improved transitions of care, and utilization management of hospitalized health plan members. You will ensure patients receive quality medical care in the most appropriate setting.</span></p><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Performs the following case management skills on a daily basis:</span></p><ul><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Perform patient assessment of all major domains using evidence based criteria (physical, functional, financial and psychosocial)</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Develop individualized discharge plans that involve provider, patient, and caregiver goals for successful transitions of care</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Implement discharge plan involving health care resources across the continuum</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Monitor and report variances that may challenge timely quality care</span></li></ul><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">If you are reside within Las Vegas, NV area, you will have the flexibility to work remotely* as you take on some tough challenges.</span></p><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>Primary Responsibilities:</strong></span></p><ul><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Utilize both company and community based resources to establish a safe and effective case management plan for hospitalized members</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Collaborate with patient, family, and health care providers to develop an individualized plan of care that encompasses both acute care episode and post hospital discharge plan</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Communicate with all stakeholders the required health related information to ensure quality coordinated care and services are provided expeditiously to all hospitalized members</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Utilize approved clinical criteria to assess and determine appropriate level of care for hospitalized members</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Accountable to understand role and how it affects utilization management benchmarks and quality outcomes</span></li></ul><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">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. </span></p><br><br><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>Required Qualifications:</strong></span></p><ul><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Registered Nurse with active, unrestricted license in the State of Nevada</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">2+ years of NICU clinical experience</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Exceptional knowledge in NICU and assessment</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Intermediate level of proficiency using a PC in a Windows environment, including MS Word and Excel</span></li></ul><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>Preferred Qualifications:</strong></span></p><ul><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">CCM certification or ability to obtain within 2 years of employment</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Case management/utilization review experience</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Experience in a managed care organization</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Knowledge of Interqual or MCG </span></li></ul><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy</span></p><p> </p><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">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 hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.</span></p><p style="text-align:center;"> </p><p style="text-align:center;"><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><i>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. </i></span></p><p style="text-align:center;"> </p><p style="text-align:center;"> </p><p style="text-align:center;"><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><i>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.</i></span></p><p style="text-align:center;"> </p><p style="text-align:center;"><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><i>UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. </i></span></p>