Remote Transition of Care RN, Advantage Plus Network

Opportunities with Advantage Plus Network - Connecticut, part of the Optum family of businesses. When you work at Advantage Plus Network - Connecticut, your contributions directly sustain the health and well-being of our community. Discover high levels of teamwork, robust medical resources and a deep commitment to exceptional care and service. Join a leading community-based medical group and discover the meaning behind Caring. Connecting. Growing together.

Under general administrative direction, coordinate referrals from physicians and health care facilities for members; provides a significant level of member education related to their illness and planned treatment. Case Manager is responsible for various tasks performed in support of Case Management/Quality Improvement programs.

Position in this function provides support to Medical Management department to facilitate the coordination of timely member/provider/health plan correspondence, according to the standards set forth by Advantage Plus Network-Connecticut (APN-CT) and contracted health plans; compiles and maintains member grievance and associated files. If you are located in Farmington, Connecticut, you will have the flexibility to telecommute* as you take on some tough challenges.

Position Details:

• Location: Telecommuter position, but must be Connecticut based to attend as needed meetings/trainings in Farmington, CT
• Department: Population Health
• Schedule: Full time, 40 hours/weekly, Monday through Friday, 8:00AM - 4:30PM

If you are located in Connecticut and have the ability to attend quarterly meetings/trainings as needed, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Member Care Coordination: Works closely with physicians involved in members plan of care to coordinate care plan communication; collaborates with multidisciplinary team to maintain and implement up-to-date coordinated care plan; communicates with all members of the healthcare team on behalf of the member
• Member Referral Support: Assists physician providers, members, and their families in obtaining referrals to needed specialists. Provides support and counseling, as appropriate to the clinical situation
• Care Plan Development: Works with designated physicians to develop and maintain Member Care Plans
• Clinical Improvement: Proactively participates in the development and deployment of Coordination of Care activities with the goal of improving the clinical experience for referred Members and the referring physician
• Liaison: Communicates with members of the Care Team as appropriate to coordinate the identified Member and physician's needs
• Provider/Member Education: Educate Member and care team participants on community/health plan benefit services available
• Other duties as 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:

• Unrestricted current RN licensure in state of Connecticut
• 3+ years of experience in nursing as a care manager or in a home care setting
• Proficient in Microsoft Office
• Proven solid critical thinking and decision-making skills
• Proven ability to work on a multi-disciplinary team
• Ability to travel to home office (Farmington, CT) as necessary for training, meetings, or as requested by supervisor/manager

Preferred Qualifications:

• Bachelor of Science, Nursing. Will consider 48 months managed care experience in lieu of a BSN
• Commission for Case Manager Certification (CCMC)
• 3+ years of experience with discharge planning/inpatient case management
• 3+ years of experience with complex disease management
• Experience working remotely from home
• EMR experience (EPIC)

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Connecticut Residents Only: The salary range for this role is $58,300 to $114,300 annually. 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.