Registered Nurse Case Manager

6 days ago


San Antonio, Texas, United States UnitedHealth Group Inc Full time
Job Summary

We are seeking a highly skilled Registered Nurse Case Manager to join our team at UnitedHealth Group Inc. As a key member of our healthcare team, you will play a vital role in ensuring the highest level of medical care for our patients.

Key Responsibilities
  • Case Management: Identify, screen, track, monitor, and coordinate the care of members with multiple co-morbidities and/or psychosocial needs, developing a comprehensive care plan to achieve optimal health outcomes.
  • Interdisciplinary Collaboration: Interact and collaborate with an interdisciplinary care team, including physicians, inpatient case managers, care team associates, pharmacists, social workers, educators, and healthcare coordinators/managers, to ensure seamless care coordination.
  • Patient Advocacy: Act as an advocate for members and their families, linking them to community resources and providing education on disease processes and acute conditions to promote maximum independence.
  • Quality Improvement: Participate in interdisciplinary conferences to review care plans and member progress, identifying areas for quality improvement and implementing evidence-based practices to enhance patient outcomes.
Requirements
  • Education: Bachelor's degree in Nursing, or Associate's degree in Nursing combined with 2+ years of experience and/or Nursing Diploma.
  • Licensure: Current unrestricted Registered Nurse license, specific to the state of employment.
  • Certification: Case Management certification (CCM) or ability to obtain CCM within 12 months after the first year of employment.
  • Experience: 3+ years of diverse clinical experience in caring for acutely ill patients with multiple disease conditions, and 2+ years of managed care and/or case management experience.
  • Skills: Proven knowledge of utilization management, quality improvement, and discharge planning, with proficiency in Microsoft Office applications, including Outlook, Word, and Excel.
Preferred Qualifications
  • Experience: Experience working with psychiatric and geriatric patient populations.
Physical Qualifications
  • Ability: Ability to frequently stand, walk, or sit for long periods.


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