$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTSYou push yourself to reach higher and go further. Because for you, it's all about ensuring a positive outcome for patients. In this role, you'll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you'll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.The United Healthcare at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)If you are located in the District of Columbia, you will have the flexibility to telecommute* as you take on some tough challenges. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations.Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for both healthcare and community-based services; including but not limited to financial, psychosocial, community and state supportive services Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (eg, psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (eg, medical necessity guidelines, practice standard What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: 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: Must have current appropriate licensure in Nursing or Social Work Masters with a degree in Social work or Bachelors degree in Social Work and the above current licensure and 3 years of experience with the population Registered Nurse BSN or can have an Associate Degree and 3 years of experience Resident of the District of Columbia or willing to commute into the DC region 3+ years of experience working within the community health setting in a health care 2+ years of experience providing community-based care management to members receiving long-term care, personal care services, private duty nursing, or home health Demonstrated competency working with Enrollees and/or families who require intensive case management services Knowledge of and experience with DC community organizations that offer resources that meet the needs of Enrollees and their families Knowledge of and experience with Medicaid LTSS and behavioral health services and service systems Ability to travel in assigned region to visit Dual Special Needs Plan members in their homes and/or other settings, including community centers, hospitals or providers' offices Strong computer skills including EHR documentation, MS Office, etc. Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (ie, entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance Preferred Qualifications: Experience in managing populations with complex medical or behavioral needs Experience working with Home Care Based Services Experience working with patients/members in community and home-based settings CCM Experience with discharge planning Experience with utilization review, concurrent review and/or risk management Experience with arranging community resources Case Management experience Prior field-based work experience UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.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.Job Keywords: #RPO, sign on bonus, remote, RN, case manager, DC, washington DC, social work, telecommute