NY MAP Care Manager - RN

ANA-Ohio; New York, Northern (NY, KY); Hybrid; USD 83,000 - 112,000; Full time

Benefits offered by this job

Remote work flexibility (NY residents)

Comprehensive benefits package

401k contribution

Job summary

UnitedHealthcare is seeking a registered nurse Care Manager to help enrollees access benefits and coordinate services under a person-centered plan. You’ll work with a Care Management Team to ensure needs are met and navigate medical, social, and educational resources in support of the care plan.

If you are based in New York, you may work remotely, with collaboration across stakeholders. The role emphasizes advocacy, timely communication, and delivering equitable care as part of UnitedHealth

Qualifications

• Associate's degree
• Current, unrestricted RN license for the state of New York
• 4+ years of experience working within the community health setting in a health care role
• 2+ year of experience in long-term care, home health, hospice, public health or assisted living
• 1+ years of relevant community case management experience coordinating care for individuals with complex needs
• Must hold active New York state ID

Responsibilities

• Assess, plan and implement care strategies that are individualized by member and directed toward the most appropriate, least restrictive level of care
• Utilize the UAS-NY to manage the Person Centered Service Plan that meets the member's needs
• Manage the person centered service plan 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 their families as needed to ensure the member's needs and choices are fully represented and supported by the health care team

Education

Associate's degree

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.

The RN Care Manager assists enrollees to access necessary covered benefits identified in the care plan and provide referral and coordination of other services in support of the care plan. The Care Manager is the primary contact person for members and is a member of a Care Management Team that assures that the members' needs are met. The Care Manager assists enrollees to obtain needed medical, social, educational, psychosocial, financial, and other services in support of the care plan irrespective of whether the services needed are covered benefits.

If you are located in New York state, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Assess, plan and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care.
• Utilize the UAS-NY to manage the Person Centered Service Plan that meets the member's needs
• Manage the person centered service plan 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 their families as needed to ensure the member's needs and choices are fully represented and supported by the health care team

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:

• Associate's degree
• Current, unrestricted RN license for the state of New York
• 4+ years of experience working within the community health setting in a health care role
• 2+ year of experience in long-term care, home health, hospice, public health or assisted living
• 1+ years of relevant community case management experience coordinating care for individuals with complex needs
• Must hold active New York state ID

Preferred Qualifications:

• A background in managing populations with complex medical or behavioral needs
• Experience with electronic charting
• Experience with arranging community resources

*All Telecommuters 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 $40.00 to $54.00 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.

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.

#RPO, #GREEN