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Discharge Care Manager - Telecommute in MO

Company: UnitedHealth Group Inc.
Location: Saint Louis
Posted on: June 8, 2021

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

If you are located within the state of Missouri, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Evaluation of member discharge needs including delays in care and readmission prevention plan
  • Collaboration with providers and members to coordinate care post discharge
  • Participate in rounds with the Medical Director to discuss cases as needed
  • Identification of internal or community based program support or resources
  • Coordination with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged
  • Assist with coordination of difficult cases needing placement in an alternate level of care facility
  • Documentation of discharge activities as outlined in standard operating procedures and data entry strategies
  • Participate in team meetings, education discussions and related activities
  • Works collaboratively with team members in a matrix environment to ensure an end to end positive experience for members, providers and care teams

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:

  • A current, unrestricted RN license in the state of Missouri
  • Bachelor's of Science in Nursing
  • 3+ years of total experience in the inpatient acute setting
  • 3+ years of experience of discharge planning
  • Proficiency in typing skills and software applications that includes, but is not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft Outlook
  • Experience working with multiple health insurance products (i.e. Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • MCG Guidelines or other nationally recognized practice guidelines
  • A case management certification
  • Bilingual
  • Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance and achieve targets
  • Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
  • Ability to build and maintain relationships

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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: Discharge Care Manager, Discharge planning, case manager, clinical, review, utilization, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Saint Louis, Kansas City, Springfield, Branson, Columbia, MO, Missouri

Keywords: UnitedHealth Group Inc., St. Louis , Discharge Care Manager - Telecommute in MO, Other , Saint Louis, Missouri

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