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Job Details

RN Case Manager Obstetrics OB Arizona or Georgia

Company name
UnitedHealth Group

Location
Atlanta, GA

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Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work. (sm) UMR offers tailored programs designed to enhance clinical outcomes and reduce costs to customers. UMR offers best-in-class programs and care management services to help customers receive the right care at the right time in the right place. In this role a Maternity Management Case Manager will educate expectant families, coach for lifestyle change when appropriate and screen for high risk situations. Telephonic interactions with members are structured around pregnancy and post-partum education and screening. Health coaching for behavior change and self-advocacy are also key tools in this role. If you are located in Arizona or Georgia, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Effectively screens for high risk maternity situations Coach and motivate program participants to take action to reduce risk of pregnancy and post-partum complications Provide individualized member education Utilize established standards of care to identify and address members' gaps in care Exercise clinically sound judgment using relevant information, expertise, and decision support tools when interacting with members Educate and empower members to ensure treatment compliance, satisfaction of management of condition, and promote member advocacy Work with members to set and achieve SMART goals Accurate, concise and timely documentation of member assessments/interactions Establish collaborative working relationships with members, providers, and customers Demonstrate sensitivity to issues and show pro-active behavior in addressing customer/member needs Ensure that sensitive member medical information is treated with respect and appropriate levels of confidentiality and adherence to HIPAA regulations. Adhere to corporate requirements related to industry regulations/responsibilities Achieve program productivity standards This is a work at home position, Monday-Thursday you will need to be able to work until 9:00PM - you could work 12:30-9:00PM or do a split shift like 8:00AM-12:00PM and 5:00PM-9:00PM. Friday is 8:00AM-4:30PM.

Requirements

Required Qualifications:

Current, unrestricted RN license in the state of Arizona and/or Georgia

5 years clinical experience in obstetrics;

Computer / typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications

Access to high speed internet from home

Dedicated work space from home

Ability to work evening hours until 9:00 pm

Preferred Qualifications:

Case Management experience

Certification in Case Management (CCM)

Bachelor's degree or greater

Clinical experience in Prenatal Care

Bilingual skills - Spanish

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

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.

Job Keywords: Registered Nurse, Case Management, Telephonic, Virtual, Prenatal, Obstetrics, Arizona, Georgia, Mountain Time Zone, Eastern Time Zone

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Company info

UnitedHealth Group
Website : http://www.unitedhealthgroup.com/

Company Profile
About UnitedHealth Group UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone. We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term

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