UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

LVN Case Manager - Disease Management

Location

United States

Posted

1 day ago

Salary

$20 - $36 / hour

Seniority

Lead

No structured requirement data.

Job Description

LVN Case Manager - Disease Management

UnitedHealth Group

Role Description The Associate Care Manager facilitates a team approach to ensure cost-effective delivery of quality care and services based on medical conditions and social determinants. Collaborates with members, providers and other resources to evaluate, plan, facilitate and monitor options and services required to meet an individual’s healthcare needs. Promotes member’s goals for self-management, facilitates effective health care navigation, reduces gaps in care, and provides support and community resources as needed. Ensures compliance to contractual and service standards as identified by relevant health insurance plans. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Must have a valid CA nursing license. Primary Responsibilities: - Conducts clinical evaluation of members per regulated timelines, determining who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and gaps in care. - Conducts individual interview to obtain data for focused assessment and determines individual needs and prioritizes goals. - Conducts telephonic, clinic, facility, hospital or home visits as indicated for patient evaluation/engagement. - Identifies barriers to care and seeks solutions with member and the care team. - Participates in the development and implementation of a case management plan in collaboration with the member, caregiver(s), provider(s), and/or other appropriate healthcare professionals to address the patient’s needs and goals. - Performs activities identified on the individual needs and prioritized goals to evaluate effectiveness, and to document interventions and goal achievement. - Maintains member case load for regular outreach and management and closes cases per procedure. - Uses motivational interviewing to evaluate, educate, support, and motivate change during member contacts. - Maintains a working knowledge of community resources. - Achieves productivity and audit standards per department requirements. - Serves as facilitator and resource for other members of the medical group or clinical teams. - Attends departmental meetings and provides constructive recommendations for process improvement. - Ability to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practice. - Performs other duties as assigned. Qualifications - Graduation from an accredited Licensed Vocational Nurse program. - Active compact license in CA. - 2+ years of recent clinical experience working as an LVN/LPN. - 1+ years of care management, disease management or discharge planning experience. - Access to dedicated workspace from home or an in-home office set up. - Reside in a location that can receive a high-speed internet connection. Requirements - All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous and respectful manner toward fellow employees, physicians and patients. - Must hold relationships to a high standard- respectful approach to all people and interactions, listening to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growth. - Integrates Lean principles, practices and tools to improve operational efficiency, reduce costs and increase customer satisfaction. - Follows written and oral instructions and completes routine tasks independently. - Completes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signed Agreements. - Ensures confidentiality of patient information following HIPAA guidelines and company policies. - Attends training to meet requirements of the job position and as needed or mandated by company policies and regulations. - Has regular and predictable attendance. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). - The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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