UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling. By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals. Position Description: OptumHealth provides specialized solutions for complex medical conditions. For more than a decade OptumHealth, a UnitedHealth Group company, has been identifying costly, complex and catastrophic conditions for which there is a quantifiable variance among treatment providers. Our products and services are developed to support safe, successful and cost-effective management of patients with these conditions. Clinical areas for which OptumHealth offers products include transplantation, kidney disease, congenital heart disease, women's health care, and cancer.We're searching for an experienced RN to fill an exciting role in our Neonatal Resource Services program, with emphasis in serving the Medicaid population. This position provides both hospital on-site and telephonic support of families receiving services through the neonatal intensive care unit (NICU). In this position you will work in multiple settings, enjoy excellent benefits, a regular Monday through Friday work schedule, and have the ability to make a significant, positive difference in the lives of the families we serve. Primary Responsibilities: Visiting designated hospitals within an assigned territory to conduct onsite clinical reviews - Evaluating delays in care, facilitating discharge planning, and arranging for alternative care services to facilitate timely and appropriate discharge
- Effectively using established operating systems to document activities and ensure consistent program clinical practices
- Collaborating with hospital staff and other clinical programs to enhance the quality and efficiency in healthcare delivery
- Educating and supporting the family unit through telephonic assessment and expert clinical interventions
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
Qualifications: - Candidates must hold a current and unrestricted RN license
- 2+ years of experience in a hospital setting managing high-risk level II or III NICU patients
- Superior Communication skills required
- Strong MS/Office (Word, Excel & Outlook) experience is required
- Case management and/or utilization management experience preferred
- Knowledge and experience with Medicaid programs and regulations preferred
- Certified Case Manager (CCM) certification preferred
UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

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