Maternity RN Case Manager - Remote - Greater St Louis Area, MO

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.

If you reside in the Greater St Louis Area, MO, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities
• Providing evidenced based trimester specific and postpartum education to promote a healthy pregnancy, delivery, and postpartum outcomes for mother and baby
• Coordinating care for high-risk maternity members
• Proactively engages the member to manage their own health and healthcare
• Making outbound calls to assess members’ current health status
• Identifying gaps or barriers in treatment plans
• Educating members on disease processes
• Encouraging members to make healthy lifestyle changes
• Documenting and tracking findings
• Interacting with Medical Directors, providers, internal and external partners on challenging cases
• Creating a positive experience and relationship with the member and your team
• Performing outreach to providers, hospitals, and clinics
• Making referrals and connecting members to community resources
• Coordinating services as needed (home health, DME, etc.)
• Attending community events
• Able and willing to travel within the assigned region per the business needs
• Performs all other duties assigned

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
• Current and unrestricted Missouri RN license
• 3+ years of OB or NICU clinical nursing experience
• 2+ years of experience working in Medicaid
• 2+ years of experience in a hospital setting, acute care, direct care experience as an RN and / or experience as a telephonic Case Manager for an insurance company
• Proficiency with Microsoft Office Suite, with the ability to navigate a Windows environment
• Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, Internet research, use of online calendars and other software applications
• Willing or ability to travel up to 50% of time in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers’ offices
• Reside in the state of Missouri

Preferred Qualifications
• Certified Case Manager (CCM)
• Certified Lactation Consultant (CLC)
• Experience working with high-risk maternity population
• A background in managed care

Soft Skills
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
• Excellent organizational and time management skills
• Ability to work in a fast-paced environment
• Ability to work independently and as a team and maintain good judgment and accountability
• Ability to multi-task and prioritize tasks to meet all deadlines
• Work collaboratively with various groups to achieve specific team goals
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

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