Remote / Telephonic Case Manager - Bilingual Spanish / English

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.

If you want to achieve more in your mission of health care, you must be smart about the business of health care.

As a Remote / Telephonic Case Manager - Bilingual Spanish / English, you will work with our Medicaid members primarily focusing on our Spanish speaking population, wearing many hats. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. Resulting in fewer hospitalizations, ER visits and costly service gaps; and a less stressful, more effective health care system for us all, and all from your own home.

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

Schedule: Monday-Friday 8am-5pm PST

You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Deliver a complete continuum of high-quality care through proactive and ongoing communication with members in their preferred language via phone and virtual platforms
• Assist members with safe and effective transitions from in-patient, skilled nursing, or other facility settings back to the home environment
• Coordinate follow-up appointments, services, and equipment to reduce remissions and ensure continuity of care
• Collaborate with interdisciplinary teams, providers, and facilities to support smooth transitions
• Establish therapeutic relationships with members and caregivers to support engagement, adherence, and self-management
• Conduct comprehensive, ongoing assessments to identify clinical, behavioral, and psychosocial needs
• Provide a complete continuum of quality care through close communication with members via phone interaction
• Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
• Assist members with the transition from a care facility back to their home
• Meet NCQA Population Health Management Standards
• Meet state-specific contractual requirements related to the delivery of care management
• Provide member education on medications, disease management, and other healthcare related needs