Job Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

In the Neonatal Resource Services program, this position provides telephonic support to families receiving services through the Neonatal Intensive Care Unit (NICU) with Monday through Friday work schedule. This will be a telecommuting role, based out of the employee's home.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

* Educating and supporting the family unit through telephonic assessment and expert clinical interventions
* Evaluating delays in care, facilitating discharge planning, and arranging for alternative care services to facilitate timely and appropriate discharge
* Effectively using established operating systems to document activities and ensure consistent program clinical practices
* Collaborating with hospital staff and other clinical programs to enhance the quality and efficiency in healthcare delivery
* Making outbound calls to assess members' current health status
* Identifying gaps or barriers in treatment plans
* Providing patient education to assist with self management
* Interacting with Medical Directors on challenging cases
* Coordinating care for members
* Making referrals to outside sources
* 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:

* Active and unrestricted RN license in your state of residence
* 2+ years of high risk level II or level III NICU care experience
* Proficiency utilizing Microsoft Word, with the ability to navigate a Windows environment
* Dedicated, distraction-free work space within the employee's home with access to high speed internet
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employee must comply with any state and local masking orders

Preferred Qualifications:

* Bachelor's Degree
* A background in managed care
* Case Management experience
* Certified Case Manager (CCM)
* Experience / exposure with discharge planning
* Experience in utilization review, concurrent review and / or risk management
* Strong organizational skills and multitasking abilities will be keys to success
* Superior communication skills

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)

Colorado Residents Only: The salary/hourly range for Colorado residents is $53,300 to $95,100 (add additional reference for sales and physicians). Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*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: NICU, Case Manager, Managed Care, CCM, Utilization Review, Discharge Planning, RN, Registered Nurse, Telecommute, Telecommuter, Telecommuting