3 days old

Clinical Resource Consultant - Middletown, DE or Alpharetta, GA

Alpharetta, GA 30009
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  • Job Code
    871051

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)

 

The Clinical Resource Consultant (CRC) is assigned to one client and responsible for providing individualized attention to UMR (United Medical Resources) membership and covered families and serves to assist with navigation of the health care system. The goal of this program is to provide an interface with membership promoting health and wellbeing of assigned population.

 

This is an onsite position for Schweitzer-Mauduit International. They have sites in both Middletown, DE and Alpharetta, GA. Travel to the different locations will be required.

 

Primary Responsibilities:

  • Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently
  • Direct employees to resources to care and get the most out of their benefits to experience Wellbeing at work and home
  • Assist employees with locating appropriate providers
  • Recruit and enroll members into the Real Appeal, EAP, Case management, Behavioral Health management, Spine and Joint program, Disease management and/or Maternity Management Programs, as eligible through UMR
  • Provide support for high-risk members using readmission prevention criteria and emergency room utilization records
  • Collaborate with case management to assist with outreach and community resources
  • Promote wellbeing and good health habits in the employee population
  • Manages end to end including planning, event scheduling, and appointment coordination of wellbeing events (i.e., flu shots, health fairs, etc.), monitoring effectiveness of programs as it relates to improving employee health and wellbeing
  • Works with Customer and Customer communications to develop annual calendar of Health and Wellbeing topics including heart health, nutrition, physical fitness, know your numbers, cancer prevention, tobacco awareness, benefits of immunization, etc., more or less following national health dates (National Smoke Out Day, Wear Red Day, American Hearth Month, Awareness Month, Skin Cancer Prevention Month, National Immunization Month, etc.)
  • Facilitate group activities and competitions between plants and teams (8 weeks to fitness, walking groups, weight loss support groups, etc.)
  • Perform as needed blood pressure screenings
  • Performs other duties as required
  • May conduct home visits with individual members and caregivers when needed (disability, coordination of care, etc.) assessing situations for life events interrupting daily life
  • Support membership navigating current resources such as care management through UMR and EAP alleviating wellbeing concerns, stress, and anxiety

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.

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Posted: 2020-03-25 Expires: 2020-04-25

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Clinical Resource Consultant - Middletown, DE or Alpharetta, GA

UnitedHealth Group
Alpharetta, GA 30009

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