At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

If you reside within a commutable distance from Lafayette, LA, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities:

• Providing evidenced based trimester specific and postpartum education to promote a healthy pregnancy, delivery, and postpartum outcomes for mother and baby

• Coordinating care for high risk maternity members

• Proactively engages the member to manage their own health and healthcare

• Making outbound calls to assess members' current health status

• Identifying gaps or barriers in treatment plans

• Educating members on disease processes

• Encouraging members to make healthy lifestyle changes

• Documenting and tracking findings

• Interacting with Medical Directors, providers, internal and external partners on challenging cases

• Creating a positive experience and relationship with the member and your team

• Performing outreach to providers, hospitals, Members, and clinics

• Making referrals and connecting members to community resources

• Coordinating services as needed (home health, DME, etc.)

• Attending community events

• Able and willing to travel within the assigned region per the business needs

• Performs all other duties 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 RN license in the State of Louisiana with 2+ years of qualifying experience working within the maternal and child health population

• Ability to travel up to 50% of time in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers’ offices

• 3+ years of OB or NICU clinical nursing experience

• 2+ years of experience in a hospital setting, acute care, direct care experience as an RN and / or experience as a telephonic Case Manager for an insurance company

• Proficiency with Microsoft Office Suite, with the ability to navigate a Windows environment

• Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, Internet research, use of online calendars and other softwareapplications

• Located in the state of Louisiana

Preferred Qualifications:

• Certified Case Manager (CCM)

• Certified Lactation Consultant (CLC)

• Experience working with chronic illness and complex care needs population

• Experience in utilization review, concurrent review and / or risk management

• Medicaid experience

• Psychiatric or Behavioral Health experience

• A background in managed care

• Bilingual Spanish speaking

• Proven problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action

• Proven ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

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

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: 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.