RN Case Manager Lead

3 weeks ago


Irving, Texas, United States UnitedHealth Group Inc. Full time

**Job Title:** RN Case Manager Lead

About Us:

At UnitedHealth Group Inc., we believe everyone deserves to live their best life. As a leading healthcare company, we're passionate about delivering exceptional care and making a meaningful difference in people's lives.

Job Description:

We're seeking an experienced RN Case Manager Lead to join our team in Texas. This is a dynamic role that requires strong clinical skills, effective communication, and a passion for improving patient outcomes.

About the Role:

  • Collaborate with integrated care teams to establish individualized plans of care for members.
  • Serve as a clinical liaison with hospital staff and provide expertise on clinical authorizations.
  • Perform concurrent and retrospective clinical reviews at designated facilities.
  • Document medical necessity and appropriate levels of care using evidence-based guidelines.
  • Interact with facility staff, members, and families to assess discharge needs and formulate discharge plans.

Requirements:

  • Bachelor's degree in Nursing or Associate's degree in Nursing combined with 4+ years of experience.
  • Current, unrestricted RN license specific to the state of employment.
  • 2+ years of diverse clinical experience in caring for acutely ill patients.
  • 1+ year of managed care and/or case management experience.

Salary:$80,000 - $110,000 per year.



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