At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on 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.
The RN Assessor assists in enrolling members into the NYMAP plan. They assist in determining the person centered service plan by working closely with prospective enrollees. They are an integral part of a team approach and work closely with the NYMAP care managers once the member is enrolled to perform all ongoing in-person functions to assess and develop the members person centered service plan to meet their needs.
If you reside in Western New York, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.
This is a Field-based role. Expect to spend at least 75-100% of your time in the field visiting our members.
Coverage area: Throughout Western New York and the following counties: Niagara, Orleans, Genesee, Wyoming, Monroe, Livingston, Wayne, Ontario, Seneca, Yates, Schuyler, Chemung, Erie, Chautauqua, Cattaraugus, Allegany, Steuben.
Primary Responsibilities:
- Assess, plan and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care
- Perform the NYS UAS Assessment in the member's home at least annually and as needed Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
- Utilize the UAS-NY to develop a Person Centered Service Plan that meets the member's needs
- Manage the person centered service plan throughout the continuum of care as part of the care management team
- Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
- Advocate for members and their families as needed to ensure the member's needs and choices are fully represented and supported by the health care team
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:
- Associate's degree
- Current, unrestricted RN license in the state of New York
- 4+ years of experience working within the community health setting in a healthcare role
- 2+ years of experience in long-term care, home health, hospice, public health or assisted living
- 1+ years of relevant community case management experience in coordinating care for individuals with complex needs
- The ability to travel in assigned regions to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices. Or other settings, including community centers, hospitals or providers' offices
- Must hold active New York state ID
Preferred Qualifications:
- A background in managing populations with complex medical or behavioral needs
- Experience with electronic charting
- Experience with arranging community resources
- Prior field based work experience
- UAS-NY
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $40.00 to $54.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
#RPO #RED
Skills Required
- Associate's degree
- Current, unrestricted Registered Nurse license in New York
- At least 4 years of experience in a community health setting
- At least 2 years of experience in long-term care, home health, hospice, public health, or assisted living
- At least 1 year of relevant community case management experience coordinating care for individuals with complex needs
- Ability to travel throughout assigned regions to visit Medicaid members in homes and other settings
- Active New York state identification
- Experience managing populations with complex medical or behavioral needs
- Experience with electronic charting
- Experience arranging community resources
- Prior field-based work experience
- UAS-NY experience
What We Do
Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.