Job Description

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
You'll support a diverse member population-including individuals with a range of disabilities-through education, advocacy, and meaningful connections to the resources they need to feel better and get well. Instead of seeing just a handful of patients each day, your work may positively impact millions for years to come. Ready to take a new path? Apply today!
If you are located within the New Jersey territory you will have the flexibility to work remotely as you take on some tough challenges. 10% travel within assigned territory (NJ).
Primary Responsibilities:

• Make outbound calls to assess members' current health status
• Demonstrate an ability to deliver effective telephonic case management in a manner that promotes behavior change for the NJ
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• Interact with Medical Directors on challenging cases including presenting at rounds
• Coordinate care for members
• Make referrals to outside sources
• Coordinate services as needed (home health, DME, etc.)
• Educate members on disease processes
• Encourage members to make healthy lifestyle changes
• Document and track findings
• Make "welcome home" calls to ensure that discharged member receive the necessary services and resources

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 New Jersey
• 2+ years of RN experience in a hospital setting, acute care, direct care experience and/or experience as a Case Manager
• 1+ years of paid professional experience working directly with the elderly or physically disabled in an institutional or community setting
• 1+ years of experience in long-term care, home health, hospice, public health or assisted living
• Ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word and Excel
• Demonstrated ability to talk and type proficiently at the same time
• Access to reliable transportation and the ability to travel up to 10% of your time within assigned territory to meet with members and providers

Preferred Qualifications:

• Bachelor's degree or greater
• Certified Case Manager (CCM)
• DSNP
• Experience working with populations with special needs
• Experience/exposure with discharge planning
• Experience in utilization review, concurrent review and/or risk management
• Experience with government health programs (Medicaid / Medicare)
• Case Management experience
• Background in managed care
• Bilingual - English/Spanish
• Proven solid organizational skills and multitasking abilities

*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 hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.

Skills Required