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Role Description

As a Discharge Care Manager (Central or Eastern Region) 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.

• Coordinate and document the discharge plan in collaboration with other key clinical care team members
• Follow the member while in the acute inpatient setting
• 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
• Work 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
• Current, unrestricted Compact RN license in the State of Tennessee
• 5+ years of recent experience in the acute inpatient hospital setting
• 2+ years of experience of discharge planning and/or case management
• 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
• Permanent residence in the State of Tennessee

Preferred Qualifications

• Case Management Certification
• 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

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)

Salary Information

The salary for this role will range from $60,200 to $107,400 annually based on full-time employment.

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.

• Committed to mitigating our impact on the environment
• Enabling and delivering equitable care that addresses health disparities and improves health outcomes