RN Case Manager
1 week ago
UnitedHealthcare is seeking a highly skilled RN Case Manager to join our team in Reno County, KS. As a RN Case Manager, you will play a critical role in ensuring the health and well-being of our Medicare and Medicaid members. You will assess, plan, and implement care strategies that are individualized and directed toward the most appropriate level of care for our members.
Key Responsibilities- Assess and plan care strategies for Medicare and Medicaid members
- Implement care strategies that are individualized and directed toward the most appropriate level of care
- Proactively engage members to manage their own health and healthcare
- 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, work well in a team and on your own, and ability to manage multiple deadlines
- Manage the Transitions of Care for members when discharged from in-patient hospital stays and emergency room
- Help members set goals and develop a care plan to achieve those goals and update their care plan regularly as they progress toward goals met
- Support members 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
- Strong computer and software navigation skills are critical
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Requirements- Current, unrestricted RN license in the state of Kansas
- 2+ years of experience working in the community as a RN in acute inpatient 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 Driver's 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
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