Field Nurse Case Manager RN

2 weeks ago

Houston, Texas, United States UnitedHealth Group Full time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Work schedule: Daytime hours, option to work 4/10 hour or 5/8 hour days with expectations of some flexibility with a combination of day and consumer hours. This is a field-based position meeting with members in their homes and facilities and will be in the field at least 75% of the time. The territory will primarily cover the greater North Houston TX area.

If you are located in the greater Houston TX area, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
  • Travel to complete in home and in facility visits with members
  • Travel to participate in care planning in facilities & provider offices
  • Use nursing assessment skills to identify medical, behavioral, social determinates of health gaps or barriers in treatment plan
  • Provide condition education, conduct medication reviews, assist with advance planning and connect to community resources
  • Demonstrate ability to establish trusting relationships with members & caregivers and identify innovative strategies to improve and maintain engagement
  • Participate in interactions with program Medical Directors, treating providers and community resources
  • Complete in- patient & post-discharge visits to ensure that discharged members receive the necessary services and resources to focus on reducing readmissions
  • Documenting and track findings; solid computer and software navigation skills are critical
  • Complete and maintain field based safety trainings

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, unrestricted RN license in the state of Texas
  • Ability to get licensed in other states as needed
  • 3+ years of RN experience
  • Renal, Chronic Kidney Disease or Dialysis Care experience as a main focus of your job
  • Computer proficiency, to include strong data entry, utilizing MS Office (Word, Excel, PowerPoint and Outlook), and the ability to type and talk at the same time while navigating a Windows environment
  • Must reside in a location that can receive a UnitedHealth Group approved high speed internet connection or can leverage existing high-speed internet service (Broadband Cable, DSL or Fiber)
  • Access to a dedicated work space from home
  • Valid drivers license
  • Access to reliable transportation
  • Proven ability to navigate successfully in a metrics driven workplace while remaining focused on delivering excellence
  • Ability to accommodate daily field-based travel within the service delivery area (greater North Houston TX area) 75% of the time

Preferred Qualifications:

  • BSN or higher level of education
  • Certified Case Manager (CCM)
  • Diabetic Educator experience
  • Field-based experience going into homes
  • Telephonic case management experience
  • Experience working within a managed care environment

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy


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.

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