Registered Nurse Case Manager

2 weeks ago

Cherry Hill, New Jersey, United States UnitedHealth Group Full time

At UnitedHealth Group, we are transforming the health care landscape, fostering healthier communities, and eliminating obstacles to high-quality care. The contributions you make here will positively impact countless lives. Are you ready to be part of this change? Together, we can Care. Connect. Grow.

We are forging a strong link between exceptional patient care and remarkable career prospects. This creates a performance-driven culture that propels the health care sector forward. As a Case Manager RN, you will assist a diverse member population through education, advocacy, and access to essential resources for improved health outcomes. Rather than managing a limited number of patients daily, your efforts could influence millions over time. Interested in exploring a new direction? Consider this opportunity.

Position Overview:

If you reside in New Jersey and are open to traveling up to 50% of your time within your designated area, you will have the flexibility to work remotely while tackling significant challenges.

Key Responsibilities:

  • Conduct outbound calls to evaluate members' current health conditions.
  • Exhibit proficiency in delivering effective telephonic case management that encourages behavioral change for the NJ population.
  • Identify and address gaps or obstacles in treatment plans.
  • Provide educational resources to empower patients in self-management.
  • Collaborate with Medical Directors on complex cases, including participation in rounds.
  • Coordinate care for members effectively.
  • Refer members to external resources as necessary.
  • Facilitate services as required (home health, durable medical equipment, etc.).
  • Educate members on various disease processes.
  • Motivate members to adopt healthier lifestyle choices.
  • Document and monitor findings meticulously.
  • Make follow-up calls to ensure discharged members receive the necessary services and resources.

In this role, you will be recognized and rewarded for your contributions in an environment that challenges you while providing clear guidance on achieving success and opportunities for professional development.

Required Qualifications:

  • Active, unrestricted RN license in New Jersey.
  • Minimum of 2 years of RN experience in a hospital environment, including acute care and direct patient care, or experience as a Case Manager.
  • At least 1 year of professional experience working directly with elderly or physically disabled individuals in institutional or community settings.
  • 1+ years of experience in long-term care, home health, hospice, public health, or assisted living.
  • Ability to navigate a Windows environment and utilize Outlook, along with proficiency in creating, editing, saving, and sending documents using Microsoft Word and Excel.
  • Demonstrated ability to engage in simultaneous conversation and typing.
  • Access to reliable transportation and willingness to travel up to 50% within the assigned area to meet with employees, members, and providers.

Preferred Qualifications:

  • Bachelor's degree or higher.
  • Certified Case Manager (CCM) credential.
  • Experience with Dual Special Needs Plans (DSNP).
  • Background in working with special needs populations.
  • Familiarity with discharge planning processes.
  • Experience in utilization review, concurrent review, or risk management.
  • Knowledge of government health programs (Medicaid / Medicare).
  • Experience in case management.
  • Background in managed care.
  • Bilingual proficiency in English and Spanish.
  • Strong organizational skills and ability to multitask effectively.

Compensation: The hourly pay range for this position is $28.03 to $54.95, influenced by various factors including education, experience, and certifications. In addition to competitive pay, UnitedHealth Group offers a comprehensive benefits package, incentive programs, and opportunities for stock purchase and retirement contributions (subject to eligibility requirements).

At UnitedHealth Group, our mission is to empower individuals to lead healthier lives and enhance the health system for everyone. We believe that every individual, regardless of race, gender, sexuality, age, location, or income, deserves the chance to achieve their healthiest life. We are dedicated to addressing health disparities and improving health outcomes, reflecting our commitment to equitable care.

Diversity fosters a healthier environment: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer. All qualified applicants will be considered 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.

UnitedHealth Group maintains a drug-free workplace. Candidates must pass a drug test prior to employment.

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