Clinical Care Manager RN

3 days ago


Fort Lauderdale, Florida, United States UnitedHealth Group Inc Full time

**Job Title:** Clinical Care Manager RN - Complex Populations

Location: Florida, USA

Estimated Salary Range: $85,000 - $115,000 per year

Company Overview

At UnitedHealth Group Inc., we're dedicated to simplifying the healthcare experience and making it more responsive, affordable, and equitable. Our mission is to help people live healthier lives and make the health system work better for everyone.

Salary and Benefits

We offer a competitive base salary of $85,000 - $115,000 per year, depending on experience, plus a comprehensive benefits package that includes medical, dental, vision, life insurance, 401(k) savings plan, education reimbursement, and employee discounts.

Job Description

As a Clinical Care Manager RN - Complex Populations, you will be responsible for managing the care needs of members with complex medical conditions, including those with Medicare and Medicaid coverage. Your primary responsibilities will include:

  1. Conducting comprehensive needs assessments and developing person-centered care plans to address medical, behavioral, functional, cultural, socioeconomic, and social determinants of health needs.
  2. Partnering with internal care teams, providers, community resources, and partners to implement care plans and ensure seamless coordination of care.
  3. Maintaining regular communication with members, families, and caregivers to monitor progress, identify challenges, and update care plans as needed.
  4. Providing education and coaching to support member self-management of care needs, including lifestyle changes to promote health and well-being.
Required Skills and Qualifications

To succeed in this role, you must have:

  1. A current, unrestricted, independent licensure as a Registered Nurse.
  2. 4+ years of relevant clinical work experience, preferably in case management or similar roles.
  3. 3+ years of experience managing the needs of complex populations, including those with Medicare and Medicaid coverage.
  4. Demonstrated knowledge of Medicare and Medicaid benefits, including eligibility criteria, coverage options, and benefit limitations.
Work Environment

This is a telecommute opportunity, with some field-based visits required. As a remote worker, you will be expected to maintain regular working hours, meet productivity targets, and adhere to UnitedHealth Group's Telecommuter Policy.



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