2325502 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We’re making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you’ll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! The Maternity Telephonic Case Manager RN plays a vital role in delivering telephonic care management services to members enrolled in the UMR Maternity CARE Program. This role supports pregnant individuals, those considering pregnancy, and postpartum members through education, coaching, and care coordination. The Nurse Case Manager uses clinical expertise and evidence-based guidelines to assess member needs, develop individualized care plans, and collaborate with healthcare providers to ensure optimal maternal and infant outcomes. This is high volume, customer service environment. You’ll need to be efficient, productive and thorough in dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes. This position is full-time (40 hours/week). You will be required to work 20 hours after 4:00 PM in your own time zone. You may work 4 days per week with Tuesday, Wednesday, or Thursday off. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Make outbound calls and receive inbound calls to assess members’ current health status • Identify gaps or barriers in treatment plans • Provide patient education to assist with self-management • Make referrals to outside sources • Provide a complete continuum of quality care through close communication with members via on-phone interaction • Utilizing motivational interviewing techniques for assisting members to move through the stages of behavioral change • Collaborating with members to set and achieve SMART goals • Use the (ASM) model to promote member engagement and behavior change • Coaching individuals to make lifestyle changes to reduce risk of disease processes • Coordinate care for high-risk pregnancies 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, unrestricted Compact RN license in the state of residence • New York single state license or willing to obtain within 90 days of employment • 3+ years of experience within OB/ L&D settings • Proficiency in bolthires Office Tools and Systems (Outlook, Word, Excel, Teams) • Access to high-speed internet (DSL or Cable) • Dedicated work area established that is separated from other living areas and provides information privacy Preferred Qualifications: • BSN • 5+ years of experience within Maternity/ OB/ L&D settings • Experience in a telephonic role • Motivational Interviewing and coaching experience • Background in managed care • Bilingual English/ Spanish • All employees working remotely 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 salary for this role will range from $58,800 to $105,000 annually 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. Apply tot his job Apply tot his job