Field HSS Clinical Coordinator RN - Maternity - Wyandotte County, KS & Surroundi
UHC, Kansas City, KS, United States
Field HSS Clinical Coordinator RN – Maternity – Wyandotte County, KS & Surrounding Areas
As the RN Case Manager for Maternity and/or NICU, you will have a panel of members with high-risk pregnancies and/or NICU babies with complex medical/behavioral needs. You will provide support and address barriers to care and social determinants of health with the goal to improve health outcomes.
To promote healthy pregnancy, delivery, and postpartum outcomes for both mother and baby, it is essential to provide evidence-based, trimester-specific, and postpartum education. This includes assistance in developing a birth plan, accessing value-added benefits, and understanding covered services, including Medicaid postpartum coverage. Additionally, support should be given for accessing contraceptive care, conducting mental health and substance use disorder screenings with referrals to treatment when necessary, and coordinating with obstetric and other providers for appointment assistance, communication, and advocacy.
This is a field-based role with a home-based office. If you reside within the Wyandotte County, KS or surrounding areas, you will have flexibility to work in both the field as well as telecommute.
Primary Responsibilities
Provide evidence-based trimester specific and postpartum education to promote a healthy pregnancy, delivery, and postpartum outcomes for mother and baby
Collaborate with your team, the member, their family/support group, and healthcare providers
Understand insurance products, benefits, coverage limitations, and governmental regulations as they apply to the health plan
Help member set goals and develop a care plan to achieve those goals
Adhere to detailed, specific documentation requirements in the member's health record
Proactively engage the member to manage their own health and healthcare
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services, and mental health and substance use treatment
Perform outreach to providers, hospitals, members, and clinics
Attend community events
Able and willing to travel within the assigned region per the business needs
Utilize solid skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detail oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines
Perform all other duties assigned
Benefits
Paid Time Off (accrued with first pay period) and 8 paid holidays
Medical plan options with Health Spending or Health Savings accounts
Dental, Vision, Life & AD&D insurance, short- and long-term disability coverage
401(k) savings plan, Employee Stock Purchase Plan
Education reimbursement
Employee discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary benefits (pet insurance, legal insurance, LTC insurance, etc.)
Hourly pay for this role ranges from $28.94 to $51.83 per hour based on full-time employment. Pay is based on local labor markets, education, work experience, certifications and other factors. All benefits are subject to eligibility requirements.
Required Qualifications
Current, unrestricted independent licensure as a Registered Nurse in Kansas
Must have resided within the local community for 2+ years
2+ years experience working within the maternal and child health population
Intermediate proficiency in MS Office (Word, Excel, Outlook)
Access to a designated quiet workspace in your home, separated from non-workspace areas, capable of securing PHI
Must comply with UHG Telecommuting Policy and have a designated high-speed internet capable workspace inside the home
Ability to travel up to 75% of time in the assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices
Access to reliable transportation & valid U.S. driver's license
Preferred Qualifications
Case management experience
Experience with electronic charting
Background in managed care
Knowledge of community culture and values
Bilingual (Spanish)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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, 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.
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As the RN Case Manager for Maternity and/or NICU, you will have a panel of members with high-risk pregnancies and/or NICU babies with complex medical/behavioral needs. You will provide support and address barriers to care and social determinants of health with the goal to improve health outcomes.
To promote healthy pregnancy, delivery, and postpartum outcomes for both mother and baby, it is essential to provide evidence-based, trimester-specific, and postpartum education. This includes assistance in developing a birth plan, accessing value-added benefits, and understanding covered services, including Medicaid postpartum coverage. Additionally, support should be given for accessing contraceptive care, conducting mental health and substance use disorder screenings with referrals to treatment when necessary, and coordinating with obstetric and other providers for appointment assistance, communication, and advocacy.
This is a field-based role with a home-based office. If you reside within the Wyandotte County, KS or surrounding areas, you will have flexibility to work in both the field as well as telecommute.
Primary Responsibilities
Provide evidence-based trimester specific and postpartum education to promote a healthy pregnancy, delivery, and postpartum outcomes for mother and baby
Collaborate with your team, the member, their family/support group, and healthcare providers
Understand insurance products, benefits, coverage limitations, and governmental regulations as they apply to the health plan
Help member set goals and develop a care plan to achieve those goals
Adhere to detailed, specific documentation requirements in the member's health record
Proactively engage the member to manage their own health and healthcare
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services, and mental health and substance use treatment
Perform outreach to providers, hospitals, members, and clinics
Attend community events
Able and willing to travel within the assigned region per the business needs
Utilize solid skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detail oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines
Perform all other duties assigned
Benefits
Paid Time Off (accrued with first pay period) and 8 paid holidays
Medical plan options with Health Spending or Health Savings accounts
Dental, Vision, Life & AD&D insurance, short- and long-term disability coverage
401(k) savings plan, Employee Stock Purchase Plan
Education reimbursement
Employee discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary benefits (pet insurance, legal insurance, LTC insurance, etc.)
Hourly pay for this role ranges from $28.94 to $51.83 per hour based on full-time employment. Pay is based on local labor markets, education, work experience, certifications and other factors. All benefits are subject to eligibility requirements.
Required Qualifications
Current, unrestricted independent licensure as a Registered Nurse in Kansas
Must have resided within the local community for 2+ years
2+ years experience working within the maternal and child health population
Intermediate proficiency in MS Office (Word, Excel, Outlook)
Access to a designated quiet workspace in your home, separated from non-workspace areas, capable of securing PHI
Must comply with UHG Telecommuting Policy and have a designated high-speed internet capable workspace inside the home
Ability to travel up to 75% of time in the assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices
Access to reliable transportation & valid U.S. driver's license
Preferred Qualifications
Case management experience
Experience with electronic charting
Background in managed care
Knowledge of community culture and values
Bilingual (Spanish)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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, 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.
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