Role Description As a Discharge Care Manager at UnitedHealth Group, you will be responsible for implementing day-to-day telephonic case management interventions for identified high risk members. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. The Discharge Care Manager (DCM) will coordinate and document the discharge plan in collaboration with other key clinical care team members. The DCM will also follow the member while in the acute inpatient setting. If you are located in Missouri, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: - Evaluation of member discharge needs including delays in care and readmission prevention plan - Collaboration with providers and members to coordinate care post discharge - Participate in rounds with the Medical Director to discuss cases as needed - Identification of internal or community-based program support or resources - Coordination with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged - Assist with coordination of difficult cases needing placement in an alternate level of care facility - Documentation of discharge activities as outlined in standard operating procedures and data entry strategies - Participate in team meetings, education discussions and related activities - Works collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams Qualifications - Bachelor of Science in Nursing - Active, unrestricted RN License in state of residence - 5+ years of recent experience in the inpatient acute setting - 2+ years of experience of discharge planning - Experience working with multiple health insurance products (Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements - Proficient in typing skills and software applications that includes, but is not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft Outlook - Designated work space and access to install secure high speed internet via cable/DSL in your home - Reside in Missouri Preferred Qualifications - Case Management Certification - Compact / Multi-state RN license - InterQual/MCG Guidelines or other nationally recognized practice guidelines - Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance, and achieve targets - Proven problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action - Proven excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others Requirements - *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Company Description 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.