Care Manager RN -$10,000 Sign On Bonus

at UnitedHealth Group in Portland, Maine, United States

Job Description


Opportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits, and discover the meaning behind: Caring. Connecting. Growing together.?

The Care Manager, RN provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team. Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Location : Northern Light Mercy Hospital 175 Fore River Parkway Portland, ME 04102

Schedule : Monday to Friday 8-5pm EST with rotating Saturday and holidays

Primary Responsibilities:

+ Care manager for the Med/Surg Unit

+ Maintains a working knowledge of care management, care coordination changes, authorization changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization review

+ Assumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate

+ Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes

+ Interviews and collects patient specified data and chart review related to readmission and appropriately notifies care team

+ Communicates telephonically and electronically with outpatient providers in an effort to enhance the continuum of care

+ Integrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelines

+ Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies

+ Assumes responsibility for Health System required continued education and owns professional growth

+ Performs tasks of a clinical nature within scope of assigned duties and clinical expertise

+ Communicate effectively in both oral and written form, as appropriate for the needs of the audience

+ Performs other duties as assigned or required

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account

+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

+ 401(k) Savings Plan, Employee Stock Purchase Plan

+ Education Reimbursement

+ Employee Discounts

+ Employee Assistance Program

+ Employee Referral Bonus Program

+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

+ More information can be downloaded at:

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 (or higher) in Nursing

+ Current, unrestricted RN license in the state of employment

+ 1+ years of experience in a hospital, acute care, or direct care setting

+ Ability to type, and navigate a Windows based environment

+ Flu vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state, and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:

+ Bachelor’s Degree in Nursing (BSN)

+ Previous background in managed care

+ Case management experience

+ Certified Case Manager (CCM)

+ Experience or exposure to discharge planning

PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis (“Internal Candidates”) are not eligible to receive a sign on bonus.**

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.

\#RPO, #Red

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Job Posting: JC245481664

Posted On: Aug 10, 2023

Updated On: Nov 03, 2023

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