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Care Coordinator - Vanderburgh County Indiana and surrounding areas - Remote
UnitedHealth Group
-
Evansville, IN
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs Develop and implement individualized, person centered care plans inclusiv
Email Job
Posted 21 days ago
Appeals and Grievances Medical Director - Radiology Specialty Required - Remote
UnitedHealth Group
-
Cypress, CA
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The
Email Job
Posted 21 days ago
Health Plan Clinical Operations Manager - DC Office Hybrid
UnitedHealth Group
-
Washington, DC
The UnitedHealthcare Community Plan of DC proudly serves the Dual Eligible Special Needs (D SNP) population in the District of Columbia and is excited to recruit for our leader of clinical oversight. This individual contributor will report directly to the Executive Director and will support them on coordinating select priorities, as well as have accountability in two key
Email Job
Posted 21 days ago
Provider Network Access Specialist - Remote in New Mexico
UnitedHealth Group
-
Albuquerque, NM
Confirm contract compliance specifics to meet the needs Turquoise Care contract network standards Work with cross functional teams within UnitedHealthcare to strengthen provider networks across multiple functions including but not limited to behavioral health, physical health, dental and vision Conduct advocacy activities with targeted providers to solicit participation W
Email Job
Posted 21 days ago
Field Based Community Health Worker - Dade County, FL
UnitedHealth Group
-
Miami, FL
Partner with clinical care coordination team to manage complex members in the community Seek and find members in the community who have been labeled unable to reach Conduct assessments as needed, i.e., health risk assessment Perform targeted activities to complete care plan interventions and to support STAR gap closure Proactively engage the member to manage their care Pa
Email Job
Posted 21 days ago
Senior RN Case Manager - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Manages a caseload by coordinating services and collaborating with other health care professionals in the provision of health care services for injured workers Determines the necessity and appropriateness of health care services for patients Evaluates and reports on outcomes Provides Health Education, coaching and treatment decision support for injured workers Meets with
Email Job
Posted 21 days ago
Individual and Family Plan Agency Manager - Telecommute - KS or MO
UnitedHealth Group
-
Kansas City, MO
Business Growth by achieving assigned sales/membership growth targets in his/her territory/territories. Sales targets are achieved by building and managing agents and agencies within two sales channels 1) Direct Agents who are independent sales agents who contract directly with UnitedHealthcare to sell Individual and Family plans and 2) Field Marketing Organizations (FMO)
Email Job
Posted 24 days ago
RN Nurse Care Coordinator - Nursing Facilities - Laredo, TX
UnitedHealth Group
-
Laredo, TX
Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care. Identify and initiate referrals for member transition to community request and provide assist with social service programs, including financial, psychosocial, community and state supportive services. Manage the care plan
Email Job
Posted 1 day ago
Radiation Oncology Medical Director - Remote
UnitedHealth Group
-
Minneapolis, MN
Perform utilization review determinations for radiation oncology populations, and support case and disease management teams to achieve optimal clinical outcomes Speak with providers by phone. This will include discussion of evidence based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expense Enhance c
Email Job
Posted 10 days ago
Medical Assistant at Primary Care Plus Broad Street
UnitedHealth Group
-
New Orleans, LA
As part of a multi disciplinary care coordination team Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual patient and caregiver, as appropriate, in decision making Facilitates communication and coordination among members of the care team Provides patient care to include patient assessment prio
Email Job
Posted 19 days ago
RN Clinical Tribal Coordinator - Phoenix, AZ
UnitedHealth Group
-
Phoenix, AZ
Care Management allocation Care Management responsibilities 80% time allocation which includes case consultations with a case load of 45 50 Utilization of hotspotting tool and other internal resource tools that identify at risk AI members Community, relationship building, education 20% (Interventions and efforts to be logged and tracked, reviewed with Manager, including o
Email Job
Posted 19 days ago
Medicare Sales Agent
UnitedHealth Group
-
Colorado Springs, CO
Answer incoming phone calls from prospective members, identify the type of assistance and information the customer needs with the goal to convert caller to a qualified lead and sale Follow up with members on questions or to review current or new products and services Navigate multiple computer systems to document member information while maintaining active listening and e
Email Job
Posted 20 days ago
RN Care Manager - Field Based in Statesville or Salisbury NC - No weekends or on
UnitedHealth Group
-
Statesville, NC
Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for both healthcare and community based services; including but not limited to financial, psychosocial, community and state supportive services Develop and implement care
Email Job
Posted 20 days ago
Inpatient Care Management Nurse RN - Indiana - Remote
UnitedHealth Group
-
Indianapolis, IN
Perform initial and concurrent review of inpatient cases applying evidenced based criteria (InterQual criteria) Discuss cases with facility healthcare professionals to obtain plans of care Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management Participation in discussions with the Clinical Services team to improve the pr
Email Job
Posted 21 days ago
Inpatient RN Case Manager - Las Vegas, NV - $10k Sign-On Bonus for External Can
UnitedHealth Group
-
Las Vegas, NV
Assess and create a discharge plan to ensure patient receives quality medical care. Implement care strategies that are individualized for patients and directed toward the most appropriate and the least restrictive level of care Utilize both company and community based resources to establish a safe and effective case management plan for hospitalized members and effective d
Email Job
Posted 22 days ago
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