Maternal Child RN Care Manager - Remote in NC

Palo Verde Community College District; Raleigh, Northern (NC, KY); Hybrid; USD 83,097,000 - 149,001,000; Full time

Job summary

UnitedHealth Group is hiring a Care Manager in North Carolina with a focus on coordinating care for pediatric and maternity populations. You will operate across the care continuum, visit members in their homes, and work remotely within NC with mileage reimbursement for field visits.

The role emphasizes advocacy, collaboration with health care teams, and ensuring access to services that meet members’ needs. NC residency and an active nursing license are required.

Qualifications

• Unrestricted NC RN license is required.
• Must be a resident of NC.
• 4+ years in pediatric/maternity care or 2+ years in community-based pediatric/maternity care.
• Must be able to travel within the assigned region to visit Medicaid members in homes or other settings.
• Intermediate skills in Microsoft Office Suite.

Responsibilities

• Assess, plan and implement care management interventions tailored to each member.
• Identify and initiate referrals for healthcare and community services, including financial and psychosocial supports.
• Develop and implement care plans as a single point of contact across the continuum of care.
• Communicate required health information to stakeholders to ensure coordinated care.
• Advocate for members and families to align with their needs and choices.
• Provide field-based visits to members locally (up to 25%), up to 120 miles round trip.

Skills

RN license

NC resident

pediatric/maternity experience

travel to member homes

MS Office proficiency

driver's license

Education

BSN

CCM certification

Tools

MS Office Suite

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 push yourself to reach higher and go further. Because for you, it's all about ensuring a positive outcome for members. In this role, you'll work in the field and coordinate the care needs for members in the local community. And at every turn, you'll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our members.

In this Care Manager role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.

If you reside in North Carolina, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities:

• Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care
• Identify and initiate referrals for both healthcare and community-based services; including but not limited to financial, psychosocial, community and state supportive services
• Develop and implement care plan interventions throughout the continuum of care as a single point of contact
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team
• Ability to provide field-based visits to members locally (up to 25%), up to 120 miles round trip (60 miles one way) (includes mileage reimbursement)

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:

• Unrestricted RN license in the state of North Carolina
• Must be a resident of NC
• 4+ years of experience working within the pediatric/maternity community setting or 2+ years of experience providing community-based care management to pediatric/maternity members
• The ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers or providers' offices
• Intermediate skills in Microsoft Office Suite
• Willing to work with both pediatric and maternity populations
• Driver's License and access to a reliable transportation

Preferred Qualifications:

• Bachelor of Science in Nursing (BSN)
• CCM certification
• Experience in managing populations with complex medical or behavioral needs
• Experience working with both maternity and pediatric populations
• Experience working with members in community and home-based settings
• Fluent in Spanish

*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 $29.00 to $52.00 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.