UnitedHealth Group
Location
Seattle, Washington
Salary
$40 - $54 / HOUR
The Clinical Care Manager will provide Reentry Targeted Case Management services to Medicaid members, focusing on care coordination and support during transitions from incarceration. Responsibilities include member education, medication reviews, and collaboration with care teams to improve health outcomes.
Candidates must have a bachelor's degree and a current RN license or a licensed behavioral health clinician. Additionally, 2+ years of experience working with individuals with special healthcare needs and clinical experience in relevant settings is required.
As a Clinical Care Manager working with Medicaid members, you'll wear many hats, and work in a variety of environments. You'll interact with members while incarcerated or leaving incarceration - with new medications or diagnoses. The clinical care manager’s primary focus will be to provide Reentry Targeted Case Management (rTCM) services. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more.
The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressful, more effective health care system for us all. This position requires clinical care coordination to be provided to Medicaid members who are currently and formerly incarcerated virtually, telephonically, or (potentially) in-person.
This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm.
Provide a complete continuum of quality care through close communication with members via phone interaction or in-person interaction Support members with condition education, medication reviews and connections to resources such as Home and Community Based Services (HCBS) Assist members with the transition from a carceral facility back to the community via Health Assessment and Care Planning Partner with care team (correctional facilities, community providers, internal staff) to complete care plans and warm handoff Improve health and self-management of conditions Reduce inappropriate emergency department utilization, preventable hospital readmissions, and reduction in recidivism Provide member education on Medicaid benefits, treatment options, and comprehensive services May participate in community events related to scope of work Meet NCQA Population Health Management Standards Meet state-specific contractual requirements related to the delivery of care management
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.
Bachelor’s degree or greater Current, unrestricted RN license in Washington or current, licensed behavioral health clinician (LICSW, LMHC, LMHCA, LMFTA, certified or licensed agency affiliated counselor) 2+ years of experience directly working with individuals with special healthcare needs 2+ years clinical experience in a hospital, acute care, home health/hospice, direct care or case management Experience with Microsoft Excel (ability to create spreadsheets, input data entry), Microsoft Word (creating and editing documents) and Microsoft Outlook (send/receive emails) Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications Access to high-speed internet from home Dedicated workspace from home Driver’s License, access to reliable transportation, and the ability to travel up to 25%25 locally, to visit client and/or carceral sites within designated area Reside in King County, Washington
Certification in Case Management (CCM) Experience with members with substance use disorders and members with other complex or multiple chronic conditions Case Management experience Behavioral Health experience Carceral facility experience Medicaid, Medicare, Managed Care experience Home care / field-based case management Familiarity with the resources available in the local community
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.
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