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TRICARE Autism RN Case Manager - Multiple Office Locations - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Colorado Springs, CO Colorado Springs, Colorado |
About this job
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nation stronger. 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)
United Healthcare Military and Veterans is currently seeking an Autism Case Manager providing case management services for qualified TRICARE beneficiaries requiring specialized healthcare services. As an Autism Case Manager, you will be responsible for providing integrated clinical case management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating care for beneficiaries with Autism. This position provides telephonic case management support for this population. Our mission is to help people live their lives to the fullest. Our values are Integrity, Compassion, Relationships, Innovation, and Performance.
This is an office position located at one of these 3 locations; 2222 W Dunlap Phoenix, AZ or 9945 Federal Drive, Colorado Springs, CO or 3049 Ualena Honolulu, HI - Must work in one of these offices!
Primary Responsibilities:
Registering, educating and supporting the Autism population and their families through telephonic assessment and expert clinical interventions
Evaluating health care needs that qualify for the Autism benefit, and arranging for services and supplies to support the beneficiary's condition
Collaborating with the Primary Care Provider, Specialty Care Provider, Therapists, DME provider, and other clinical service providers to enhance the quality and efficiency in healthcare delivery to the Autism population
Document all clinical information in accordance with United Healthcare Military & Veterans policies and procedures in the member's electronic medical record
Assess and interprets the Autism population's health care needs, gaps, and requirements and provides referral to other Military and Veteran Case Management programs as indicated
Provides assessment, coaching, teaching and referral to the Autism population's family members and caregivers as required
Identifies and coordinates care with community resources as indicated
Identifies solutions to military unique, non-standard request and problems
Solves moderately complex problems and/ or conducts moderately complex analyses
Develops benefit focused care plan in collaboration with family, other Case Managers, Primary Care Provider, Specialty Providers, other service providers as needed to assure Autism benefit managed according to DoD guidance
Works with minimal guidance, seeks guidance on only the most complex tasks
Translates concepts into practice
Provides explanations and information to others on difficult issues
Coaches, provides feedback, and guides others
Collaborates with specialists, physicians, and medical directors to provide the necessary care and cost efficient care for the beneficiary and family
Assesses the effectiveness and quality of services provided related to clinical, functional, and outcomes
Coordinates authorizations of services as needed
Adheres to ethical, legal/regulatory and accreditation standards
Requirements
Required Qualifications:
- This role requires a valid, unrestricted RN license
- 2-5 years of experience in a clinical setting
- Familiar with Microsoft Word & Excel and has computer/technical aptitude
- United States Citizenship
- Ability to obtain favorable adjudication following submission of Department of Defense
Preferred Qualifications:
- Case management experience desired
- Approved Case Management certification is preferred
As a requirement of UnitedHealth Group's contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense , (the National Agency Check Legal and Credit or NACLC). Successful completion of the NACLC process is a requirement for continued employment in this role. NACLC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense. Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received. Failure to obtain final NACLC approval will result in termination from this role.
Careers at UnitedHealthcare Military & Veterans. When it comes to their health care, the men and women who help keep the peace deserve the greatest peace of mind. That's why UnitedHealthcare is the organization that's called on to serve them and their loved ones. We're all about finding better ways to help improve their lives no matter where life may take them. So our career opportunities take challenge to a higher level. If you have a commitment to quality that mirrors our commitment to the men and women of the armed forces, take time to learn more about the career paths available here. It's a genuine opportunity 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.
Job Keywords: Case Management, CM, Case Manager, CCM, Certified Case Management, clinical, autism, RN, Nurse, Registered Nurse, LCSW, Licensed Clinical Social Worker, Phoenix, AZ, Arizona, Colorado Springs, CO, Colorado, Honolulu, HI, Hawaii
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