Continuity of Care RN, Remote in WA

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.

We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Continuity of Care Registered Nurse you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Ideal candidate will reside in Seattle, WA.

Primary Responsibilities:

• Make outbound calls to assess members' current health status
• Identify gaps or barriers in care and treatment plans
• Make referrals to outside resources
• Facilitate a continuum of quality care through close communication with members and/or caregivers via n-phone interaction
• Support members with condition education, medication reviews, and connections to agencies and partners in the community such as Home Health Aides or Meals on Wheels
• Respond to designated inquiries from the Health Care Authority by contacting member, providers, and various internal teams to resolve the issue
• Assist with Fair Hearings by reviewing member history, contacting member to preemptively resolve the issue before the hearing if possible, collaborating with Fair Hearing team, attending Fair Hearing meetings
• Other duties as assigned

This is a high volume, customer service environment. You'll need to be efficient, productive, and thorough, in dealing with our members, providers and outside resources over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes.

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 the state of employment
• Ability to work in Pacific Standard Time
• 2+ years of experience in a hospital setting, acute care, direct care experience, or experience as a telephonic Case Manager for a managed care organization
• Demonstrated ability to type and have the ability to navigate a Windows based environment

Preferred Qualifications:

• BSN
• Residency in the state of Washington
• Certified Case Manager (CCM)
• Case management experience
• Experience or exposure to discharge planning
• Experience in utilization review, concurrent review or risk management
• Experience in a telephonic role
• Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
• Background in managed care
• Bilingual or multilingual skills
• Demonstrated ability to establish rapport quickly and willingness to collaborate to problem-solve
• Demonstrated ability to communicate effectively and tactfully both verbally and in writing.
• Demonstrated ability to self-manage, establish priorities and respond timely

*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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.