Case Manager LPN - Truth or Consequences, NM - Full-time / Part-time

Position Description:

Talk about meaningful work.  Talk about an important role. Let's talk about your next career move.  UnitedHealth Group is providing exceptional health care services to millions of our nation's most vulnerable and underserved patients.  Our impact in New Mexico will expand greatly with the emerging NM Centennial Care program.  We're working with patients who need help in understanding and navigating a complex health care system.  We do it with dedicated and smart Care Coordinators who ensure that all resources are working together in a way that promotes safety, well-being and wellness for every patient we serve.  This is the opportunity for care givers who share our passion for quality and our compassion for people; who bring their distinct focus and energy to work every day.  It's an inspiring role and it can inspire your career.  Find out more about these opportunities to do your life's best work.(SM)
 
In this role, you'll provide a vital service to our members through care coordination activities including conducting assessments, care planning, telephonic and in-home visits, coordination of benefits and services, and linking members to community-based resources.  This is a field based/telecommuting role that requires 80% travel within the local New Mexico communities.
 
Primary Responsibilities:

• Complete initial and routine assessments for the purpose of identifying member care needs
• Initiate care planning and implementation of a comprehensive care plan which is member-driven and addresses medical and/or behavioral health needs
• Engage members routinely telephonically and in-person via home/facility visits to coordinate services, community resources, and provide health education
• Provide education and information on available benefits and services and how to access appropriate care
• Identify early risk factors and targeted condition management interventions as necessary
• Create, review and revise Care Plans with a focus on health education and improving health outcomes
• Advocate for member needs and services and provide assistance to members in navigating the healthcare system
• Focus on reducing hospital admissions through coordinated care and effective discharge planning with other team members
• Collaborate with the member's PCP and other care team members to deliver and coordinate quality care and services
• Build and maintain relationships with members and their representatives to empower personal responsibility and decision making on healthcare matters
• Ensure completion of required touch points and care coordination activities and document all activities within the member clinical record
• Participate in interdisciplinary case reviews or co-managed cases to ensure an effective and comprehensive approach to engage members
• Promote condition management and principles of recovery and resiliency
• Attend routine team meetings and offer creative solutions and innovative approaches to further enhance the clinical model

Requirements Qualifications:

• High School Diploma/GED.
• Active, unrestricted LPN or RN in the state of New Mexico, or a Bachelor's Degree.
  
• 2+ years Clinical or Case Management experience in a Medical, long-term care or Behavioral Healthcare setting.
• Proficiency in Microsoft Office suite applications (Word, Excel, Outlook/Email, Internet).
• Willingness to travel within a designated geographical region of New
  Mexico for home/site visits, as well as access to reliable
  transportation and proof of automobile insurance for vehicle being used.

• Medicare/Medicaid experience.

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM

 

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

　

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.