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UnitedHealth Group Social Worker RN Case Manager - Tucson, AZ in Tucson, Arizona

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

This is a full time, Monday-Friday position. The Social Work Case Manager / Care Coordinator must be able to travel within Tucson metropolitan area or as needed in order to conduct critical face to face assessments. Territory Assignments are based on business needs. Applicants must be willing to carry a diverse clinical caseload and visit the member in their home and SNF

Primary Responsibilities:

  • Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care

  • Utilize both company and community-based resources to establish a safe and effective case management plan for members

  • Collaborate with patient, family, and healthcare providers to develop an individualized plan of care

  • Identify and initiate referrals for social service programs; including financial, psychosocial, community, and state supportive services

  • Manage care plan throughout the continuum of care as a single point of contact

  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members

  • Advocate for patients and families as needed to ensure the patients needs and choices are fully represented and supported by the healthcare team

  • Utilize approved clinical criteria to assess and determine appropriate level of care for members

  • Document all member assessments, care plan and referrals provided

  • Participate in interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care

  • Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan

  • Accountable to understand role and how it affects utilization management benchmarks and quality

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:

  • Master’s degree in Social Work (MSW) or Registered Nurse

  • Licensed Social Worker in the state of Arizona

  • Access to reliable transportation that will enable you to travel to client and/or member sites within a designated area which includes but not limited to Tucson metropolitan area ( up to 75% of the time in the field); there will be 10% travel to Phoenix for meetings and trainings

Preferred Qualifications:

  • 2+ years of varied clinical experience with an emphasis on case management or utilization management

  • Background in managing populations with complex medical or behavioral needs

  • Experience in a managed care organization

  • Case Management experience

  • Experience with electronic charting

  • Experience with arranging community resources

  • Field based work experience

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Job Keywords: Social Worker, RN Case Manager, Master’s degree in Social Work, MSW, SNF, Continuum of Care, Social Services, Social Worker Case Manager, Tucson, AZ, Arizona