UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.

Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth. The EP Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. The Essential Plan is for New Yorkers between the ages of 19-64. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Training on all government programs will be conducted upon hire.

If you reside in New York, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Enroll eligible members in UHC Essential PlanBuild and foster relationships with key accounts (provider offices, CBOs, housing, etc.)The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing salesServe as point of contact for members to provide excellent service and enrollment experienceLead pipeline managementResponsible for meeting or exceeding sales and enrollment expectations within assigned territoryConduct product information presentations in multiple settings, including in-home consultationsFunction independently and responsibly with minimal need for supervisionTrack and measure various sales event effectiveness and activities, events, leads & leads progress, sales, appointments, contacts, and relationship progress daily through internal systemsProvide input, support and feedback on promotional opportunities, benefits, and other issuesStay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriateAbility to manage multiple priorities including visiting provider offices on a regular basis and following up on leads in a timely fashionAbility to track a schedule to keep appointments on time and information pertaining to those appointments in timely mannerInput consumer demographics and interactions into company systems as appropriatePerforms other duties as required

Demonstrated Skills:

Execute excellent communication, interpersonal, time management and organizational skillsExcellent relationship building skillsAbility to be compassionate while sellingFunction independently and responsibly with minimal need for supervisionAbility to manage multiple priorities as it relates to meeting enrollment goals Ability to communicate complex healthcare information to potential clients

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Marketplace Certified (Valid NYSOH Certified Application Counselor ID - CAC). If you do not have an active CAC ID or if the ID is not in good standing, you must be willing to obtain this ID within 30 days of hire2+ years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experienceIntermediate level of proficiency with MS Office (Outlook, Word, Excel, PowerPoint) and CRM (Salesforce) Ability to travel locally up to 100% of time within assigned sales territories in this NY market areaAbility to work core business hours, Monday - Friday 8am-5pm and nights and weekends, when requiredReside within/commutable distance of their target geographyAccess to reliable transportation and valid US driver's license with current automobile insurance and good driving history

Preferred Qualifications:

Bilingual preferred (Russian, Spanish, English, Arabic, French, etc.)Established professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territoryExperience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communitiesDemonstrated knowledge of Essential Plan Market Place marketing rules and regulations preferred, training in all lines of businesses will be provided Previous outside sales and territory management experienceAct as a team player - work collaboratively with others (both inside the sales unit as well as outside) to achieve goals, relate to others in an open and accepting manner, keep others up to date on information they need, contribute ideas and support decisions made by the team and the organization, treat people with dignity and respectInsured and dependable vehicle

*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 $19.00 to $38.00 per hour based on full-time employment. This role is also eligible to receive bonuses based on sales performance. 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.

   

    

#RPO #RED

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Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

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 $28.27 to $50.48 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.

    

 

#RPO #RED #RPOLinkedin

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Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

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 $28.27 to $50.48 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.

    

 

#RPO #RED #RPOLinkedin

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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.

The Complex Care Manager, RN will be managing complex members and is responsible for facilitating, promoting and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients (High risk stratification). Care Manager will manage the care of members in their homes or other community settings by completing telephonic and or face to face health risk assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent.  The care manager will provide clinical and medical management services, including care management, health assessments, interventions, and discharge planning.  Work is generally self-directed and not prescribed; so, it will be important to function in a less structured work environment.

For consideration you must reside within Tidewater, VA Markets commutable to Williamsburg, Virginia Beach and Norfolk, VA.

If you reside within a commutable distance of Williamsburg, VA, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

Engaging members/families telephonically and/or face to face to coordinate services, community resources, and treatment needs  Delivering a holistic approach to coordinated care based on the member's needs using a person-centered philosophyIdentifying early risk factors and conducting ongoing assessments and documenting in an electronic fileCreating, reviewing and revising care plans and focusing on a holistic approach  Functioning as an advocate for membersCollaborating with the members' PCP to deliver and coordinate necessary servicesBuilding relationships with members and their families; assisting them with coordination of health choicesEnsuring cases are documented in a timely mannerCoordination with other state agencies, community resources and providersAct as the primary point of contact for Members and the Interdisciplinary Care Team (ICT)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current, unrestricted RN licensure in the state of Virginia2+ years of recent experience in case management, home care, long term care and/or experience in acute or rehab care setting1+ years of experience directly working with individuals with complex medical or behavioral needsBasic level of proficiency in Microsoft Office suite applications (Word, Excel, Outlook/Email, Internet), including the ability to type and talk at the same time and toggle between multiple applicationsBroadband internet capability from home officeAbility to travel (up to 25%) within a designated geographical region of Virginia for home/site visitsAccess to reliable transportation and valid US driver's license with proof of automobile insurance for vehicle being used

Preferred Qualifications:

CCM certificationExperience with Medicare and/or MedicaidExperience with complex populationsManaged care/case management experience

*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 $29 - $52 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.

   

 

#RPO #RED

Read Less

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. 

 

The Case Manager is responsible and accountable for coordination of patient services through an interdisciplinary process, which provides a clinical and psychosocial approach through the continuum of care. Through concurrent case management, patients will be assessed to determine appropriateness of admission, continued hospitalization, as well as appropriate level of care. Discharge planning will begin at the time of (or prior to) admission, and reassessed ongoing throughout the course of hospitalization. Quality and Risk Management issues will also be monitored and reported as appropriate. CM may be assigned to various units throughout the hospital or the Emergency Department.

 

Schedule: 3 days a week, per week, Thursday, Friday, Saturday and following week, Wednesday, Thursday, Friday. 8:00AM - 4:30PM.

 

NOTE: Qualified candidates must live in the Boulder CO regional area and be willing to work onsite at a hospital facility (not a remote work-from-home position)

 

Primary Responsibilities:

The CM will be responsible for integrating the assessment of the need for post-hospital services and determination of an appropriate discharge plan for complex casesEducates patient/family as to options/choices within the level of care determined to be appropriate. Initiates and ensures completion of all necessary paperworkFacilitates completion of orders as required prior to transfer of patient to the next level of care in a timely manner so discharge is not delayedContinuum of Care planning will emphasize education and collaboration with physicians, family members, clinical social workers, nursing staff, therapists and case managers from contracted payors when appropriate to determine discharge plan that will be of maximum benefit to the patient. Involve staff from the next level of care in the treatment plan as early as possible to promote continuity and collaborationReports on all relevant information to the staff assuming responsibility in the next level of careEmployees are expected to comply with all regulatory requirements, including CMS and Joint Commission StandardsKnowledge of all applicable federal and state regulations. Demonstrates a working knowledge of managed care and Medicare health plans as well as reimbursement related to post-acute services within the continuum of careConsults with physician section leaders for support in cases where continued stay is not appropriate, and case managers are unable to come to resolution by working with assigned physicianResponsible for communicating with the department director LOS and financial information, as well as issues that may affect the Continuum of Care processAll employees are expected to remain flexible to meet the needs of the hospital, which may include floating to other departments to assist as the patient's needs fluctuateReviews the patient plan of care with the multi-disciplinary team. Facilitates and participates in multi-disciplinary team care conferences for patients with complex problems. Communicates in the medical record and verbally with the team to coordinate interventions and facilitate continuity of careDaily communication and collaboration with the patient care staff to provide continuous assessment, evaluation and continuum planning to ensure the patient receives the appropriate level of care at the appropriate timeCoordinates patient care processes to achieve desired quality outcomes and identifies/controls inappropriate resource utilizationFacilitates patient and family education and promotes continuity of care to achieve optimal patient outcomes. Assures patient rights by offering a choice when appropriate

Professional Accountabilities:

Adheres to name badge/dress code complianceEffectively solves problems and actively pursues resolutionDirectly communicates with staff, physicians, patients and families in a professional and courteous mannerRole models leadership behavior through courtesy, respect and efficiencyFunctions without direct supervision, utilizing time constructively and organizing assignments for maximum productivity. Arrange schedule to facilitate meeting with physicians for patient care rounds, team meetings and other opportunities to improve communication 

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Registered Nurse (RN) with a current, active, unrestricted RN License in Colorado OR a Social Worker (either a Licensed Clinical Social Worker [LCSW] in Colorado OR Master of Social Work [MSW] will qualify2+ years of experience working as a clinician in an acute care setting with proficient knowledge of hospital workflowsLive in the Boulder CO regional area (this position is location based and not open to remote work)Willing and able to work Part-Time onsite at a hospital location Boulder CO (24 hours per week)Willing and able to work a Part-Time rotating schedule of 1 week: Thursday, Friday, Saturday; Next week: Wednesday, Thursday, Friday (Repeat alternating weekly schedule every month)

Preferred Qualifications:

Case management experience or certificationKnowledge or understanding of community resources, policies, and proceduresSolid clinical acumen with the ability to use sound judgment, deductive reasoning, and problem-solving skillsDemonstrates a high level of organization with the ability to stay focused on the detailDemonstrates collaborative skills and ability to interact with people of diverse backgroundsSolid written and verbal communication skillsSelf-motivated and able to function in a fast-paced work environmentMeets and maintains quality and productivity standardsSolid working knowledge of Microsoft packagesAbility to learn and understand various clinical software applicationsProficient typing skillsEffectively solves problems and actively pursues resolutionCritical thinking and organizational skills 

 

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 salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

    

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 

 

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.

   

   

#RPO #RED

Read Less

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Nursing Facility Care Manager is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients in Nursing Facilities. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports.

The Nursing Facility Care Manager collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Nursing Facility Care Manager will be traveling into nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care.

The Nursing Facility Care Manager actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. The Nursing Facility Care Manager act as liaison between the Health Plan, the Commonwealth, enrollees, and their families.  

The Nursing Facility Care Manager follows established professional standards of care, Commonwealth guidelines and policy and procedures.

This is a field-based position visiting Nursing Facilities based in Western VA Markets. For consideration, you must reside within a commutable distance of Washington County, Grayson County and Smyth County VA Markets Alleghany or Rockbridge Counties in VA.

If you reside within a commutable distance of Madison, Charlottesville, Waynesboro, Fluvanna, or Staunton, VA Markets, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needsDevelop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelinesPartner and collaborate with internal care team, providers, and community resources/partners to implement care planProvide education and coaching to support member self-management of care needs and lifestyle changes to promote healthSupport proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admissionAdvocate for members and families as needed to ensure the members' 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 directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook  Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers  Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers

Preferred Qualifications:

CCM certificationExperience working with Medicaid / Medicare populationExperience working in team-based careLong term care / geriatric experienceBackground in Managed Care

Physical Requirements:

Ability to transition from office to field locations multiple times per dayAbility to navigate multiple locations/terrains to visit employees, members and/or providersAbility to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)Ability to remain stationary for long periods of time to complete computer or tablet work duties

*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 $24 - $43 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.

   

 

#RPO #RED

Read Less

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Nursing Facility Care Manager is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients in Nursing Facilities. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports.

The Nursing Facility Care Manager collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Nursing Facility Care Manager will be traveling into nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care.

The Nursing Facility Care Manager actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. The Nursing Facility Care Manager act as liaison between the Health Plan, the Commonwealth, enrollees, and their families.  

The Nursing Facility Care Manager follows established professional standards of care, Commonwealth guidelines and policy and procedures.

This is a field-based position visiting Nursing Facilities based in Western VA Markets. For consideration, you must reside within a commutable distance of Washington County, Grayson County and Smyth County VA Markets Alleghany or Rockbridge Counties in VA.

If you reside within a commutable distance of Madison, Charlottesville, Waynesboro, Fluvanna, or Staunton, VA Markets, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needsDevelop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelinesPartner and collaborate with internal care team, providers, and community resources/partners to implement care planProvide education and coaching to support member self-management of care needs and lifestyle changes to promote healthSupport proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admissionAdvocate for members and families as needed to ensure the members' 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 directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook  Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers  Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers

Preferred Qualifications:

CCM certificationExperience working with Medicaid / Medicare populationExperience working in team-based careLong term care / geriatric experienceBackground in Managed Care

Physical Requirements:

Ability to transition from office to field locations multiple times per dayAbility to navigate multiple locations/terrains to visit employees, members and/or providersAbility to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)Ability to remain stationary for long periods of time to complete computer or tablet work duties

*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 $24 - $43 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.

   

 

#RPO #RED

Read Less

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.

The Complex Care Manager, RN will be managing complex members and is responsible for facilitating, promoting and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients (High risk stratification). Care Manager will manage the care of members in their homes or other community settings by completing telephonic and or face to face health risk assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent.  The care manager will provide clinical and medical management services, including care management, health assessments, interventions, and discharge planning.  Work is generally self-directed and not prescribed; so, it will be important to function in a less structured work environment.

For consideration you must reside within Tidewater, VA Markets commutable to Williamsburg, Virginia Beach and Norfolk, VA.

If you reside within a commutable distance of Williamsburg, VA, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

Engaging members/families telephonically and/or face to face to coordinate services, community resources, and treatment needs  Delivering a holistic approach to coordinated care based on the member's needs using a person-centered philosophyIdentifying early risk factors and conducting ongoing assessments and documenting in an electronic fileCreating, reviewing and revising care plans and focusing on a holistic approach  Functioning as an advocate for membersCollaborating with the members' PCP to deliver and coordinate necessary servicesBuilding relationships with members and their families; assisting them with coordination of health choicesEnsuring cases are documented in a timely mannerCoordination with other state agencies, community resources and providersAct as the primary point of contact for Members and the Interdisciplinary Care Team (ICT)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current, unrestricted RN licensure in the state of Virginia2+ years of recent experience in case management, home care, long term care and/or experience in acute or rehab care setting1+ years of experience directly working with individuals with complex medical or behavioral needsBasic level of proficiency in Microsoft Office suite applications (Word, Excel, Outlook/Email, Internet), including the ability to type and talk at the same time and toggle between multiple applicationsBroadband internet capability from home officeAbility to travel (up to 25%) within a designated geographical region of Virginia for home/site visitsAccess to reliable transportation and valid US driver's license with proof of automobile insurance for vehicle being used

Preferred Qualifications:

CCM certificationExperience with Medicare and/or MedicaidExperience with complex populationsManaged care/case management experience

*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 $29 - $52 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.

   

 

#RPO #RED

Read Less

 

**** This is an outside/field sales position ****
*** Base Pay + Commission ***

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth. The EP Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. The Essential Plan is for New Yorkers between the ages of 19-64. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Training on all government programs will be conducted upon hire.

If you reside in New York, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Enroll eligible members in UHC Essential PlanBuild and foster relationships with key accounts (provider offices, CBOs, housing, etc.)The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing salesServe as point of contact for members to provide excellent service and enrollment experienceLead pipeline managementResponsible for meeting or exceeding sales and enrollment expectations within assigned territoryConduct product information presentations in multiple settings, including in-home consultationsFunction independently and responsibly with minimal need for supervisionTrack and measure various sales event effectiveness and activities, events, leads & leads progress, sales, appointments, contacts, and relationship progress daily through internal systemsProvide input, support and feedback on promotional opportunities, benefits, and other issuesStay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriateAbility to manage multiple priorities including visiting provider offices on a regular basis and following up on leads in a timely fashionAbility to track a schedule to keep appointments on time and information pertaining to those appointments in timely mannerInput consumer demographics and interactions into company systems as appropriatePerforms other duties as required

Demonstrated Skills:

Execute excellent communication, interpersonal, time management and organizational skillsExcellent relationship building skillsAbility to be compassionate while sellingFunction independently and responsibly with minimal need for supervisionAbility to manage multiple priorities as it relates to meeting enrollment goals Ability to communicate complex healthcare information to potential clients

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Marketplace Certified (Valid NYSOH Certified Application Counselor ID - CAC). If you do not have an active CAC ID or if the ID is not in good standing, you must be willing to obtain this ID within 30 days of hire2+ years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experienceIntermediate level of proficiency with MS Office (Outlook, Word, Excel, PowerPoint) and CRM (Salesforce) Ability to travel locally up to 100% of time within assigned sales territories in this NY market areaAbility to work core business hours, Monday - Friday 8am-5pm and nights and weekends, when required

Reside within/commutable distance of their target geography

 

Access to reliable transportation and valid US driver's license with current automobile insurance and good driving history

Preferred Qualifications:

Bilingual preferred (Russian, Spanish, English, Arabic, French, etc.)Established professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territoryExperience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communitiesDemonstrated knowledge of Essential Plan Market Place marketing rules and regulations preferred, training in all lines of businesses will be provided Previous outside sales and territory management experienceAct as a team player - work collaboratively with others (both inside the sales unit as well as outside) to achieve goals, relate to others in an open and accepting manner, keep others up to date on information they need, contribute ideas and support decisions made by the team and the organization, treat people with dignity and respectInsured and dependable vehicle

*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 $19.23 to $38.46 per hour based on full-time employment. This role is also eligible to receive bonuses based on sales performance. 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.

   

    

#RPO #RED

Read Less

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

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 $28.27 to $50.48 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.

    

 

#RPO #RED #RPOLinkedin

Read Less

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.

The Complex Care Manager, RN will be managing complex members and is responsible for facilitating, promoting and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients (High risk stratification). Care Manager will manage the care of members in their homes or other community settings by completing telephonic and or face to face health risk assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent.  The care manager will provide clinical and medical management services, including care management, health assessments, interventions, and discharge planning.  Work is generally self-directed and not prescribed; so, it will be important to function in a less structured work environment.

For consideration you must reside within Tidewater, VA Markets commutable to Williamsburg, Virginia Beach and Norfolk, VA.

If you reside within a commutable distance of Williamsburg, VA, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

Engaging members/families telephonically and/or face to face to coordinate services, community resources, and treatment needs  Delivering a holistic approach to coordinated care based on the member's needs using a person-centered philosophyIdentifying early risk factors and conducting ongoing assessments and documenting in an electronic fileCreating, reviewing and revising care plans and focusing on a holistic approach  Functioning as an advocate for membersCollaborating with the members' PCP to deliver and coordinate necessary servicesBuilding relationships with members and their families; assisting them with coordination of health choicesEnsuring cases are documented in a timely mannerCoordination with other state agencies, community resources and providersAct as the primary point of contact for Members and the Interdisciplinary Care Team (ICT)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current, unrestricted RN licensure in the state of Virginia2+ years of recent experience in case management, home care, long term care and/or experience in acute or rehab care setting1+ years of experience directly working with individuals with complex medical or behavioral needsBasic level of proficiency in Microsoft Office suite applications (Word, Excel, Outlook/Email, Internet), including the ability to type and talk at the same time and toggle between multiple applicationsBroadband internet capability from home officeAbility to travel (up to 25%) within a designated geographical region of Virginia for home/site visitsAccess to reliable transportation and valid US driver's license with proof of automobile insurance for vehicle being used

Preferred Qualifications:

CCM certificationExperience with Medicare and/or MedicaidExperience with complex populationsManaged care/case management experience

*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 $29 - $52 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.

   

 

#RPO #RED

Read Less

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

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 $28.27 to $50.48 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.

    

 

#RPO #RED #RPOLinkedin

Read Less

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

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 $28.27 to $50.48 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.

    

 

#RPO #RED #RPOLinkedin

Read Less

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

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 $28.27 to $50.48 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.

    

 

#RPO #RED #RPOLinkedin

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Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

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 $28.27 to $50.48 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.

    

 

#RPO #RED #RPOLinkedin

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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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Nursing Facility Care Manager is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients in Nursing Facilities. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports.

The Nursing Facility Care Manager collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Nursing Facility Care Manager will be traveling into nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care.

The Nursing Facility Care Manager actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. The Nursing Facility Care Manager act as liaison between the Health Plan, the Commonwealth, enrollees, and their families.  

The Nursing Facility Care Manager follows established professional standards of care, Commonwealth guidelines and policy and procedures.

This is a field-based position visiting Nursing Facilities based in Western VA Markets. For consideration, you must reside within a commutable distance of Washington County, Grayson County and Smyth County VA Markets Alleghany or Rockbridge Counties in VA.

If you reside within a commutable distance of Madison, Charlottesville, Waynesboro, Fluvanna, or Staunton, VA Markets, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needsDevelop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelinesPartner and collaborate with internal care team, providers, and community resources/partners to implement care planProvide education and coaching to support member self-management of care needs and lifestyle changes to promote healthSupport proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admissionAdvocate for members and families as needed to ensure the members' 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 directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook  Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers  Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers

Preferred Qualifications:

CCM certificationExperience working with Medicaid / Medicare populationExperience working in team-based careLong term care / geriatric experienceBackground in Managed Care

Physical Requirements:

Ability to transition from office to field locations multiple times per dayAbility to navigate multiple locations/terrains to visit employees, members and/or providersAbility to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)Ability to remain stationary for long periods of time to complete computer or tablet work duties

*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 $24 - $43 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.

   

 

#RPO #RED

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"A Day in the Life" video

Opportunities with Genoa Healthcare.  A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care. 

Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.  

The Account Manager manages a portfolio of residential and healthcare partner accounts, including assisted living homes, group homes, center partners, outpatient clinics, substance abuse facilities, and other community-based settings. Serving as a primary liaison between Genoa Healthcare, pharmacy operations, and client partners, this role focuses on relationship management, proactive account support, and timely resolution of service, operational, and billing issues to maintain and grow the business.

The Account Manager works closely with pharmacy, billing, operational, and business development teams to support onboarding, retention, service continuity, growth metrics.  Responsibilities include maintaining a quarterly outreach cadence through site visits and remote follow-up, vaccination support, assisting with invoice and past-due account follow-up, and helping deliver a responsive, relationship-centered client experience.

Primary Responsibilities: 

Client Relationship Management

Serve as the primary relationship owner for assigned residential and healthcare partner accounts, supporting retention, service continuity, and growth.Build strong relationships with facility staff, pharmacy teams, and key contacts through consistent communication and follow-through.Maintain a consistent quarterly outreach cadence through in-person or virtual visits, phone calls, text messages, or email based on account needs and preferences.Act as the point of escalation for service, operational, and billing concerns, working between facilities and pharmacies to reach timely, practical resolutions.

Growth & Business Development

Identify opportunities to strengthen existing accounts through responsive service, improved coordination, and consistent relationship management.Partner closely with business development representatives and pharmacy teams to support smooth onboarding and successful integration of new accounts leading to future full ownership of those accounts.Proactively identify account risks, service gaps, and relationship concerns early so they can be addressed before they affect retention and growth.Maintain an organized territory coverage plan that supports regular site visits, balanced travel scheduling, and timely follow-up across assigned markets.

Account Oversight & Operational Support

Own performance across assigned accounts by supporting retention, service continuity, responsive account management, and growth.Monitor account activity, service issues, billing needs, and follow-up requirements to help ensure timely support for each site.Use available account information, statements, and site-level details to guide outreach priorities and support problem-solving with internal teams.

Cross-Functional Collaboration

Serve as a liaison between pharmacy operations, billing, business development, and client partners to align account needs and next steps.Assist and support the BDR in the coordination of onboarding activities for new accounts and support implementation tasks that help accounts transition smoothly.Ensure timely communication, documentation, and follow-up with internal stakeholders and external account contacts after visits, calls, and issue escalations.

Client Engagement & Education

Educate account partners on available services, pharmacy processes, billing follow-up, and operational expectations to support effective collaboration.Coordinate client-facing activities such as site visits, outreach, and immunization events.Share observations from the field with internal teams and recommend practical solutions that reflect account needs, service trends, and operational realities.

Performance Metrics (KPIs)

Success in this role will be measured through relationship strength, account retention, outreach consistency, growth,  and operational follow-through across assigned accounts, including:

Account Retention and Growth: Retention rate of assigned accounts and continuity of service support to enact growth of this account.Quarterly Outreach Completion: Percentage of assigned accounts receiving scheduled visits or other quarterly touchpointsIssue Resolution Effectiveness: Timeliness and quality of follow-up on service, operational, and billing concernsBilling Follow-Up: Completion of invoice, statement, hard hold, and past-due follow-up activities assignedOnboarding Support: Successful coordination and follow-through for new account transitionsAccount Responsiveness: Timely communication and documented follow-up after visits, calls, and escalationsClient Satisfaction: Feedback from facilities, pharmacies, and partners regarding service support and relationship managementScheduling Effectiveness: Ability to maintain organized travel plans, account coverage, and regular contact across assigned territoriesOperational Support: Consistent coordination of site needs, flu clinic support, and account-related tasks in partnership with internal 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:

4+ years' experience supporting pharmacy or healthcare operations4+ years' experience in pharmacy or healthcare account management, in a client-facing support role6+ months of experience building external client relationships and coordinating across internal teams to resolve issues and support account needsValid driver's license, reliable transportation, and ability to travel regularly up to 75% of the time to customer sites while managing a structured field schedule

Preferred Qualifications:

Experience supporting residential, behavioral health, outpatient, substance use disorder, or other community-based healthcare accountsLicensed Pharmacy TechnicianExperience with invoice support, billing follow-up, account onboarding, or related operational coordination activitiesExperience coordinating healthcare related eventsProficiency with MS Office

Soft Skills:

Strong history of working with multiple stakeholders in a fast paced healthcare environment, including the ability to multitask, problem-solve  and prioritizeStrong organizational skills, including territory planning, visit scheduling, and documentation of account follow-up

 

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 to $52 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. 

  

 

   

#RPO #RED

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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. 

Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales/Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth. The EP Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. The Essential Plan is for New Yorkers between the ages of 19-64. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Training on all government programs will be conducted upon hire.

*** This is an outside/field sales position ***

*** Base Pay + Bonus ***

Primary Responsibilities:

Enroll eligible members in UHC Essential PlanBuild and foster relationships with key accounts (provider offices, pharmacies, CBOs, housings, etc.)The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing sales.Serve as point of contact for members to provide excellent service and enrollment experienceLead pipeline managementResponsible for meeting or exceeding sales and enrollment expectations within assigned territoryConduct product information presentations in multiple settings, including in-home consultationsFunction independently and responsibly with minimal need for supervisionTrack and measure various sales event effectiveness and activities, events, leads & lead progress, sales, appointments, contacts, and relationship progress daily through internal systems.Provide input, support and feedback on promotional opportunities, benefits, and other issuesStay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriateAbility to manage multiple priorities including visiting provider offices on a regular basis and following up on leads in a timely fashionAbility to track a schedule to keep appointments on time and information pertaining to those appointments in timely mannerInput consumer demographics and interactions into company systems as appropriatePerforms other duties as required

Demonstrated Skills:

Execute excellent communication, interpersonal, time management and organizational skillsExcellent relationship building skillsAbility to be compassionate while sellingFunction independently and responsibly with minimal need for supervisionAbility to manage multiple priorities as it relates to meeting enrollment goals Ability to communicate complex healthcare information to potential clients

Required Qualifications:

Marketplace Certified (Valid NYSOH Certified Application Counselor ID - CAC) in good standing or willing to obtain certification within 30 days of hire1+ years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experienceIntermediate level of proficiency in MS Office (Outlook, Word, Excel, Power Point)Willing and able to travel locally up to 100% of time within assigned sales territories in this NYC market area requiring reliable transportation or access to public transportationWilling and able to work core business hours, Monday - Friday 8am-5pm and nights and weekends, when requiredReside within commuting distance to New York Metropolitan areaBilingual English plus one or more of the following: Chinese (Cantonese, Mandarin, Fuzhounese), Korean, South Asian - Hindi, Bengali, Urdu, Punjabi, Tamil, Gujarati, Vietnamese, Filipino/Tagalog etc

Preferred Qualifications

2+ years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experienceExperience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communitiesPrevious outside sales and territory management experienceValid driver's license, good driving history and current automobile insuranceInsured, dependable vehicle with current driver's licenseHealth & Accident Insurance license required (company-sponsored) state health/life insurance; or willing to obtain license within 30 days of hireEstablished professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territoryDemonstrated knowledge of Essential Plan Market Place marketing rules and regulations preferred, training in all lines of businesses will be providedPrevious outside sales and territory management experienceAct as a team player - work collaboratively with others (both inside the sales unit as well as outside) to achieve goals, relate to others in an open and accepting manner, keep others up to date on information they need, contribute ideas and support decisions made by the team and the organization, treat people with dignity and respect

*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 $19.23 to $38.46 per hour based on full-time employment. This role is also eligible to receive bonuses based on sales performance. 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.

   

   

#RPO, #RED #RPOLinkedin

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Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

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 $28.27 to $50.48 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.

    

 

#RPO #RED #RPOLinkedin

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This position is Onsite. Our office is located at 161 Canal St. New York, NY and 136-02 Roosevelt Ave Flushing NY 11354.

Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English, Cantonese and Mandarin, we can show you how to put all of your skills, your passions and your energy to work in a fast- growing environment. 

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

This role delivers face to face customer service to M&R and DSNP members-explaining benefits, resolving claims and billing issues, completing material requests, providing translations, and assisting with government program applications-while collaborating closely with a 7-member onsite team.

This position is full-time on site (40 hours/week), Monday - Friday. Employees are required to work a shift between our normal business hours of 9:00am - 5:30pm EST. It may be necessary, given the business need, to work occasional overtime. 

We offer 2 weeks of introductory training and then continuous on the job training. The hours of the training will be 9:00am - 5:30pm EST, Monday - Friday.

                

Primary Responsibilities:

Customer Services responsibilities- Full M&R and DSNP training

Provide in person Member services to both M&R and DSNP members with their languages (Cantonese / Mandarin) at retail store, services including but not limited to:BenefitsPolicies, Procedures and protocols (pre-auth, enrollments, renew rewards, etc )Claim/billing issues (follow up calls with resolution to identified issues in timely manner, outbound calls to provider offices if needed)Fulfills material requests for MembersTranslations (company letters, as interpreter to work with other vendors)Assist members to apply for various government assistance programs, explore external non-profits organizations to provide help to needed Members

Member Services Quality Programs Supports

Support Member experience and quality programs to improve Member satisfaction NPS score and Star rating Assist outbound calls projects (HRA, seminar RSVPs, other quality call projects)Support House Call program/activities at retail sites Attend in person MES event and assist on Q&A sessionsArrange small session educational seminars to promote UHC tools that will be benefit Members (website, catalog ordering, etc)As interpreter, assist Members to complete quality related surveys and close gap in care activities to enhance plan's star ratingAttend community activities to promote retails

Medicare Growth

Medicare Sales and Enrollment SupportsMust obtain Health license and Complete Medicare certification to support enrollmentEncourage Member referral program after servicingIntroduce plans to Members and Prospects for conversions and new enrollmentsNeed to handle Member conversion applications process and sign-up Medicare prospects as sales back upPromote sales-related seminars and events at retail

              

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

High School Diploma / GED OR equivalent work experienceMust be 18 years of age OR older3+ years of customer service experience analyzing and solving customer problemsExperience with Windows based programs including Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft OutlookBilingual Fluency in English, Cantonese and MandarinMust be willing to obtain Health license after 6 months of employmentAbility to travel up to 10% on local retail locations as neededMust reside within a commutable distance to the office located at 161 Canal St. New York, NY and 136-02 Roosevelt Ave Flushing NY 11354Ability to work full-time on site (40 hours/week), Monday - Friday. Employees are required to work a shift between our normal business hours of 9:00am - 5:30pm EST. It may be necessary, given the business need, to work occasional overtime

           

Preferred Qualifications:

Bilingual Fluency in English, Fuzhouese and ToishaneseHealthcare Industry experience  

                 

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 salary for this role will range from $20 - $36 hourly 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.

 

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