Military Spouse Connection Jobs

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts 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 Onsite Senior Clinical Admin Nurse will work with UMR Account Management to design and ensure delivery of wellness programs and communications to employees educating them on how to lead healthy lifestyles. Works with the various site Human Resources employees to execute wellness programs and communications.

Primary Responsibilities:

• Promotes wellness and good health habits in the employee population in all activities and interactions while coordinating with Quad/QuadMed and UMR teams

• With the help of predictive modeling and other tools, identifies high-risk and emerging risk members to engage with them for stabilization through ongoing one-on-one interactions

• Identifies gaps in care and collaborates with the QuadMed Clinics on member-facing communication and activities

• Coordinates the delivery of healthcare for high-risk and emerging risk members by ensuring engagement with specialists, assisting with timely initial and follow-up appointments, medication management and compliance to treatment plans

• Identifies and educates members utilizing non-QuadMed Urgent Care services to promote steerage back into the QuadMed Clinics for future Acute Care and encourage adoption of a Primary Care Provider

• Assists in steerage to Premium Designated Providers for Care as needed when not available at QuadMed

• Refers to and partners with the Case Management and UMR team as needed for Member engagement and participation in UMR programs

• Partners with Quad/QuadMed team to facilitate engagement in appropriate Quad/QuadMed internal Health Programs including but not limited to: Wellness, Behavioral Health, Pharmacy, etc.

• Assesses barriers to member engagement, care and resources; assists with community resources and support to help address identified barriers

• Performs other duties as required

Candidate must be willing to work onsite at the wellness clinic in Sussex and West Allis, WI Monday – Friday 8:00 am – 5:00 pm CST.

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:

• Current and unrestricted compact Wisconsin RN license

• Ability to obtain multi-state licensure as required

• 2+ years of experience in employee wellness and/or health promotion

• Experience in Oncology, Musculoskeletal, ER and/or Discharge Planning

• Basic computer proficiency (i.e. MS Word, Outlook)

Preferred Qualifications:

• Bachelor’s degree

• Case Management certification (CCM)

• Project and event management experience

• Case management experience

Soft Skills:

• Demonstrated excellent verbal and written communication skills

• Excellent customer service orientation

• Proven team player and team building skills

• Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment

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.