RN Case Manager
3 weeks ago
As a Telephone Case Manager RN at UnitedHealthcare, you will play a vital role in simplifying the healthcare experience for millions of people. You will be responsible for supporting a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well. This is a unique opportunity to make a significant impact on people's lives and be part of a team that is driving the healthcare industry forward.
Key Responsibilities:
• Make outbound calls to assess members' current health status
• Demonstrate effective telephonic case management in a manner that promotes behavior change
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• Interact with Medical Directors on challenging cases
• Coordinate care for members
• Make referrals to outside sources
• Coordinate services as needed
• Educate members on disease processes
• Encourage members to make healthy lifestyle changes
• Document and track findings
Requirements:
• Current, unrestricted RN license in New Jersey
• 2+ years of RN experience in a hospital setting, acute care, direct care experience, and/or experience as a Case Manager
• 1+ years of paid professional experience working directly with the elderly or physically disabled in an institutional or community setting
• 1+ years of experience in long-term care, home health, hospice, public health, or assisted living
• Ability to navigate a Windows environment, utilize Outlook, and create, edit, save, and send documents using Microsoft Word and Excel
• Demonstrated ability to talk and type proficiently at the same time
• Access to reliable transportation and the ability to travel up to 50% within assigned territory to meet with employees, members, and providers
Preferred Qualifications:
• Bachelor's degree or greater
• Certified Case Manager (CCM)
• DSNP
• Experience working with populations with special needs
• Experience/exposure with discharge planning
• Experience in utilization review, concurrent review, and/or risk management
• Experience with government health programs (Medicaid / Medicare)
• Case Management experience
• Background in managed care
• Bilingual - English/Spanish
• Proven solid organizational skills and multitasking abilities
Compensation Information:
$54.95 / Hourly
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