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The Post-Acute Case Manager functions as part of the primary care team, and reports to the Supervisor, Post-Acute Case Management. The Case Manager supports the team by performing activities as outlined below, and as assigned by the Supervisor of the team. The Case Manager performs activities that fall within the scope of practice. This role works in close collaboration within a transdisciplinary team and may support multiple providers. Case Manager completes assessments, coordinates transitions of care, supports treatment plans, and completes case documentation in the electronic medical record and other health plan specific required duties as assigned. This position is remote.

If you are located in Pacific or Mountain Time Zones, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Engage OptumCare Arizona - members in eligible clinical services during skilled nursing facility admission

• Work closely with health partners, members and the interdisciplinary care team to facilitate appropriate discharge planning

• Participate in weekly interdisciplinary team meeting at the skilled nursing facility

• Perform utilization management, utilization review, or concurrent review (onsite or telephonic)

• Coordination and assurance of appropriate levels of care to members

• Collaborate with the care team to meet patient-centric affordability goals and quality outcomes

• Ensuring regulatory compliance requirements are met

• Providing medical management services, including case management, psychosocial assessments, and interventions to aid patients in improving their wellbeing

• May identify, coordinate or provide appropriate levels of care under the direct supervision of an RN or MD

• 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:

• Current, unrestricted Master of Social Work license in the state of New Mexico (LMSW, LCSW). If licensed in another state, employment may be contingent of New Mexico license being obtained within 90 days of hire

• Experience with Microsoft Office

• Experience working with Medicare members

• Working knowledge of hospice and palliative care

• Working knowledge of skilled nursing facilities & long term acute care facilities

• Proven planning, organizing, conflict resolution, negotiating and interpersonal skills

• Proven ability to autonomously prioritize, plan, and manage multiple tasks/demands simultaneously

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

California, Colorado, Nevada, or Washington Residents Only: The salary range for this role is $33,280 to $41,700 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.