Complex Care Manager RN - Charlottesville, VA Market

UnitedHealth Group • Charlottesville, VA • 4d ago

Requisition number: 2356416

Job category: Medical & Clinical Operations

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.

The Complex Care Manager, RN will be managing complex members and is responsible for facilitating, promoting and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients (High risk stratification). Care Manager will manage the care of members in their homes or other community settings by completing telephonic and or face to face health risk assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent. The care manager will provide clinical and medical management services, including care management, health assessments, interventions, and discharge planning. Work is generally self-directed and not prescribed; so, it will be important to function in a less structured work environment.

Primary Responsibilities:

Engaging members/families telephonically and/or face to face to coordinate services, community resources, and treatment needs

Delivering a holistic approach to coordinated care based on the member's needs using a person centered philosophy

Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file

Creating, reviewing and revising care plans and focusing on a holistic approach

Functioning as an advocate for member

Collaborating with the member's PCP to deliver and coordinate necessary services

Building relationships with members and their families; assisting them with coordination of health choices

Ensuring cases are documented in a timely manner

Coordination with other state agencies, community resources and providers

Act as the primary point of contact for Members and the Interdisciplinary Care Team (ICT)

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 licensure in the state of Virginia

2+ years of recent experience in case management, home care, long term care and/or experience in acute or rehab care setting

1+ years of experience directly working with individuals with complex medical or behavioral needs

Basic level of proficiency in Microsoft Office suite applications (Word, Excel, Outlook/Email, Internet), including the ability to @type and talk at the same time and toggle between multiple applications

Willingness to travel (up to 25%) within a designated geographical region of Virginia for home/site visits

Driver's license and access to reliable transportation and proof of automobile insurance for vehicle being used

Broadband internet capability from home office

Preferred Qualifications:

CCM certification

Experience with Medicare and/or Medicaid

Experience with complex populations

Managed care/case management experience

*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 $28.94 to $51.63 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.

Similar Jobs

Mechanical Project Manager

Moore's Electrical & Mechanical Construction, Inc. • Charlottesville, VA • 1d ago

Management & Administrative

1d ago

Go to Apply

Administrative Assistant

Robert Half • Orange, VA • 2d ago

Management & Administrative

Description We are looking for a dependable and personable Administrative Assistant to support daily office operations. This is a Contract position suited for someone who enjoys helping others, staying organized, and han...

2d ago

Go to Apply

MARKET SALES MANAGER

Accendra Health • Charlottesville, VA • 1w ago

Management & Administrative

At Accendra Health, we understand that healthcare is complex, and we're here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage...

1w ago

Go to Apply

Part Sales Manager - Full Time

AutoZone, Inc. • Waynesboro, VA • 1w ago

Management & Administrative

Job Description AutoZone's Store Management team drives store performance, fosters a productive team, and ensures exceptional customer service. Managers and MITs play a key leadership role, expected to Live The Pledge an...

1w ago

Go to Apply

Part Sales Manager - Part Time

AutoZone, Inc. • Waynesboro, VA • 1w ago

Management & Administrative

1w ago

Go to Apply

Administrative Assistant -Workforce Center

University of Virginia • Charlottesville, VA • 1w ago

Management & Administrative

Performs a variety of administrative functions for one or more Medical Center professionals. Work often requires detailed knowledge of area and the application and interpretation of organizational and departmental polici...

1w ago

Go to Apply

Senior Principal Operations Project Manager

Northrop Grumman • Waynesboro, VA • 1w ago

Management & Administrative

RELOCATION ASSISTANCE: Relocation assistance may be available CLEARANCE REQUIRED FOR START: No CLEARANCE TYPE: Secret TRAVEL: Yes, 10% of the Time Description At Northrop Grumman, our employees have incredible opportunit...

1w ago

Go to Apply

Administrative Specialist Perioperative Services

University of Virginia • Charlottesville, VA • 2w ago

Management & Administrative

This job family coordinates, integrates and administers a range of diverse administrative or staff functions. Jobs in this group are typically responsible for managing the daily operations and administrative functions of...

2w ago

Go to Apply

Customer Service Supervisor

Wawa, Inc. • Waynesboro, VA • 2w ago

Management & Administrative

As a Customer Service Supervisor (CSS) , you are a motivated leader who plays a key role in supporting store operations. You'll work side-by-side with peer supervisors and store leaders to deliver excellent customer serv...

2w ago

Go to Apply

Supply Chain Services Specialist

Owens & Minor • Charlottesville, VA • 2w ago

Management & Administrative

Owens & Minor is a global healthcare solutions company providing essential products, services and technology solutions that support care delivery in leading hospitals, health systems and research centers around the w...

2w ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)