Field Based RN Case Manager-Labette/Cherokee/Crawford Counties Healthcare Professional

3 weeks ago

Hinesville, Georgia, United States UnitedHealthcare Full time
Job Summary

We are seeking a highly skilled and compassionate RN Case Manager to join our team in Labette/Cherokee/Crawford Counties, Kansas. As a Field-Based RN Case Manager, you will play a critical role in simplifying the healthcare experience for our members, creating healthier communities, and removing barriers to quality care.

Key Responsibilities
  • Assess, plan, and implement care strategies that are individualized and directed toward the most appropriate level of care for Medicare and Medicaid members.
  • Utilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, working well in a team and on your own, and ability to manage multiple deadlines.
  • Proactively engage the member to manage their own health and healthcare using Motivational Interviewing Skills.
  • Highly detailed charting on members reported needs, medical and behavioral health history, current management of their health concerns and social determinacies of health needs and medication reconciliation.
  • Manage the Transitions of Care for members when discharged from in-patient hospital stays and emergency room.
  • Help member set goals and develop a care plan to achieve those goals and update their care plan regularly as they progress toward goals met.
  • Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician and specialists.
  • Identify and initiate referrals for social service programs; including financial, community resources, medical, behavioral health, psychosocial, community and state supportive services.
  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
  • Advocate for Persons as needed to ensure the Person has access to care.
  • Provide clinical support for nonclinical staff of the team, in way of education on medications, diagnosis and disease specific education.
  • Collaborate with interdisciplinary team to ensure appropriate services and identify needs.
What We Offer
  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays.
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account.
  • Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage.
  • 401(k) Savings Plan, Employee Stock Purchase Plan.
  • Education Reimbursement.
  • Employee Discounts.
  • Employee Assistance Program.
  • Employee Referral Bonus Program.
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.).
Requirements
  • Current, unrestricted RN license in the state of Kansas.
  • 2+ years of experience working in the community as a RN in acute in-patient care, long-term care, home health, hospice, public health, behavioral health, or assisted living.
  • Intermediate level of proficiency working with MS Word, Excel and Microsoft Outlook.
  • Ability to travel up to 75% of the time with reliable transportation, with a current and non-restricted state of Kansas Drivers License and State-required insurance.
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI).
  • Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
Preferred Qualifications
  • Bachelors degree in nursing.
  • A background in managing Medicaid and Medicare populations with complex medical and behavioral needs.
  • Experience with arranging community resources.
  • Experience with electronic charting.

We are 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.

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