Current jobs related to In-Patient Case Manager RN - Brownsville - UnitedHealth Group

  • Case Manager RN

    4 days ago

    Brownsville, Texas, United States Interim Healthcare Full time

    Job Title: Case Manager RN **Job Summary:** At Interim Healthcare, we are dedicated to providing patient-centered care with a focus on Home Life Enrichment. We are seeking a skilled RN Case Manager to join our team in providing high-quality care to the residents of Brownsville and surrounding areas. **Responsibilities:** * Perform Start of Care Visits,...

  • Integrated Care Case Manager

    3 weeks ago

    Brownsville, Texas, United States DirectEmployers Full time

    JOB DESCRIPTIONPosition OverviewDirectEmployers is seeking a dedicated Case Manager to join our Healthcare Services team. This role involves collaborating with members, healthcare providers, and multidisciplinary teams to assess, facilitate, and coordinate a comprehensive delivery of care across various settings, including behavioral health and long-term...

  • Case Manager

    1 week ago

    Brownsville, Texas, United States Begum Law Group Full time

    Job DescriptionBegum Law Group is seeking a highly motivated and experienced Case Manager to join our team. As a Case Manager, you will play a crucial role in the success of our Personal Injury law firm.Key Responsibilities:Client Communication: Regularly communicate with clients to update them on the status of their case, address their questions or...

  • Case Manager

    1 week ago

    Brownsville, Texas, United States Begum Law Group Full time

    Job OpportunityBegum Law Group is seeking a highly motivated and experienced Case Manager to join our team.Key Responsibilities:Client Communication: Develop and maintain strong relationships with clients, providing regular updates on case status and addressing their questions and concerns.Case Coordination: Collaborate with legal staff to ensure seamless...

  • RN Case Manager with Work Life Balance and Minimal On-Call

    21 hours ago

    Brownsville, Texas, United States Interim HealthCare Full time

    Patient-Centered Care with Home Life Enrichment**Job Summary:**As a RN Case Manager with Interim HealthCare, you will provide care for the residents of Brownsville and surrounding areas. Our focus is on patient-centered care with a philosophy of Home Life Enrichment.**Responsibilities:*** Perform Start of Care Visits, Recertifications, and Resumptions of...

  • Case Manager

    1 week ago

    Brownsville, Texas, United States Begum Law Group Full time

    Job OpportunityBegum Law Group is seeking a highly motivated and experienced Case Manager to join our team.Key Responsibilities:Client Communication: Develop and maintain strong relationships with clients, providing regular updates on case status and addressing their questions and concerns.Case Coordination: Collaborate with legal staff to ensure seamless...

  • Integrated Care Case Manager

    3 weeks ago

    Brownsville, Texas, United States DirectEmployers Full time

    JOB DESCRIPTIONPosition OverviewDirectEmployers is seeking a dedicated professional to join our team as a Case Manager specializing in Long-Term Services and Supports (LTSS). In this role, you will collaborate with members, healthcare providers, and a multidisciplinary team to assess, facilitate, and coordinate comprehensive care tailored to individuals with...

  • Registered Nurse Case Manager with Flexible Scheduling

    3 weeks ago

    Brownsville, Texas, United States Interim HealthCare Full time

    Role Overview: As a Registered Nurse Case Manager, you will be responsible for delivering exceptional care to patients in your designated area. At Interim HealthCare, we prioritize a patient-centric approach that enhances the quality of life for those we serve.Key Responsibilities:Conducting initial assessments, ongoing evaluations, and care plan updates....

  • Registered Nurse Case Manager with Flexible Schedule

    3 weeks ago

    Brownsville, Texas, United States Interim Healthcare - Brownsville, TX Full time

    Position OverviewRole Summary: As a Registered Nurse Case Manager, you will deliver exceptional care to patients in the Brownsville area and its surroundings.Core Philosophy: At Interim Healthcare, we prioritize patient-centered care, embodying a philosophy that enhances the quality of life at home.Key ResponsibilitiesConducting initial care assessments,...

  • Registered Nurse Case Manager with Balanced Workload

    3 weeks ago

    Brownsville, Texas, United States Interim Healthcare - Brownsville, TX Full time

    Position OverviewRole Summary: As a Registered Nurse Case Manager, you will be responsible for delivering high-quality care to patients in the Brownsville area and its surroundings.Core Philosophy: At Interim Healthcare, we prioritize patient-centered care, emphasizing the importance of enriching home life for our clients.Key ResponsibilitiesConducting...

  • Registered Nurse Case Manager with Flexible Schedule

    3 weeks ago

    Brownsville, Texas, United States Interim HealthCare Full time

    Role Overview: As a Registered Nurse Case Manager, you will be responsible for delivering exceptional care to patients in the community, ensuring their health and well-being.Company Philosophy: At Interim HealthCare, we prioritize patient-centered care, guided by our commitment to enhancing the quality of life for those we serve.Key...

  • Bilingual Nurse Case Manager

    2 months ago

    Brownsville, United States Paradigm Full time

    Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation...

  • Case Mgr

    5 days ago

    Brownsville, TX, United States Interim Healthcare Full time

    Case Mgr - RNProvide care for the residents of Brownsville and surrounding area At Interim Healthcare our focus is patient centered care with a philosophy of Home Life Enrichment Job Responsibilities * Performing Start of Care Visits, Recertifications, and Resumptions of Care. You will have LVNs you supervise to provide quality care under your direction....

  • Case Manager

    4 weeks ago

    Brownsville, United States Begum Law Group Full time $18 - $22

    Job DescriptionJob DescriptionJob DescriptionPersonal Injury law firm seeking a motivated and experienced case manager. This position will require ordering medical records, signing up clients, opening property damage claims and managing the case. We are seeking someone with at least 2 years experience in the area of personal injury. Bilingual abilities a...

  • Case Manager

    1 week ago

    Brownsville, Texas, United States Begum Law Group Full time

    Job DescriptionBegum Law Group is seeking a highly motivated and experienced Case Manager to join our team. This is a fantastic opportunity for a professional with a passion for personal injury law to work with a dynamic and growing law firm.Responsibilities:Client Communication: Regularly communicate with clients to update them on the status of their case,...

  • Long-Term Services and Supports Case Coordinator

    3 weeks ago

    Brownsville, Texas, United States DirectEmployers Full time

    JOB DESCRIPTIONPosition OverviewDirectEmployers is seeking a dedicated Case Manager to join our team, focusing on Long-Term Services and Supports (LTSS). In this role, you will collaborate with members, healthcare providers, and interdisciplinary teams to evaluate, facilitate, and coordinate comprehensive care tailored to individuals with significant needs....

  • Engineering Case Management Specialist

    3 weeks ago

    Brownsville, Texas, United States Cameron County Full time

    Job OverviewPosition Title: Engineering Case Management SpecialistSalary: $130,000Position SummaryThe Engineering Case Management Specialist engages in technical engineering responsibilities. This role encompasses the design, oversight of construction projects, site inspections, development reviews, surveying, and activities related to environmental and...

  • Case Management Engineer

    4 months ago

    Brownsville, United States Cameron County Full time

    Job DescriptionJob DescriptionCase Management EngineerSalary:$130,000Distinguishing Features of the Position (Summary)Performs engineering work. Work involves design, construction management, construction inspection, devilment review, surveying, environmental, and transportation related activities. Design activity is supervised by a licensed professional...

  • Registered Nurse Case Manager with Flexible Scheduling

    3 weeks ago

    Brownsville, Texas, United States Interim Healthcare - Brownsville, TX Full time

    Position OverviewRole Summary: As a vital member of the healthcare team, you will deliver exceptional care to patients in the Brownsville area and its surroundings.Our Mission: At Interim Healthcare, we prioritize patient-centered care, embracing a philosophy that enhances the quality of life at home.Key ResponsibilitiesConduct Start of Care Visits,...

  • Registered Nurse Case Manager with Flexible Schedule

    3 weeks ago

    Brownsville, Texas, United States Interim HealthCare Full time

    Overview: As a vital member of the healthcare team, you will provide exceptional care to patients in the community, ensuring their needs are met with compassion and professionalism.Company Philosophy: At Interim HealthCare, we prioritize patient-centered care, emphasizing the importance of enriching the home life of our clients.Key...

In-Patient Case Manager RN

4 months ago

Brownsville, United States UnitedHealth Group Full time

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.


The Case Manager II - Inpatient Services performs onsite review or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing facility. Actively implements a plan of care utilizing approved clinical guidelines to transition and provide continuity of care for members to an appropriate lower level of care in collaboration with the hospitals/physician team, acute or skilled facility staff, ambulatory care team, and the member and/or family/caregiver. The case manager is responsible for coordinating the care from admission through discharge. The Case Manager participates in Patient Care Conferences to review clinical status, update/finalize transition discharge needs, and identify members at risk for readmission.


Primary Responsibilities:

Independently collaborates effectively with Interdisciplinary care team (ICT) to establish an individualized transition plan for membersIndependently serves as the clinical liaison with hospital, clinical and administrative staff as well as performs a review for clinical authorizations for inpatient care utilizing evidenced-based criteria within our documentation systemPerforms expedited, standard, concurrent, and retrospective onsite or telephonic clinical reviews at in network and/or out of network facilities. The Case Manager documents medical necessity and appropriate level of care utilizing national recognized clinical guidelines for all authorizations Interacts and effectively communicates with facility staff, members and their families and/or designated representative to assess discharge needs, formulate discharge plan and provide health plan benefit informationIdentifies member’s level of risk by utilizing the Population Stratification tools and communicates during transition process the member’s transition discharge plan with the ICTConducts a transition discharge assessment onsite and/or telephonically to identify member needs at time of transition to a lower level of careManages assigned case load in an efficient and effective manner utilizing time management skills Demonstrates exemplary knowledge of utilization management and care coordination processes as a foundation for transition planning activitiesIndependently confers with UM Medical Directors and/ or Market Medical Directors on a regular basis regarding inpatient cases and participates in department huddlesEnters timely and accurate documentation into designated care management applications to comply with documentation requirements and achieve audit scores of 90% or better on a monthly basisAdheres to organizational and departmental policies and proceduresTakes on-call assignment as directedThe Case Manager will also maintain current licensure to work in State of employment and maintain hospital credentialing as indicatedDecision-making is based on regulatory requirements, policy and procedures and current clinical guidelinesMaintains current knowledge of health plan benefits and provider network including inclusions and exclusions in contract termsRefers cases to UM Medical Director as appropriate for review for cases not meeting medical necessity criteria or for complex case situationsMonitors for any quality concerns regarding member care and reports as per policy and procedurePerforms all other related duties as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Bachelor’s degree in Nursing and/or, Associate’s degree in Nursing combined with 4+ years of experience above the required years of experienceCurrent, unrestricted RN license specific to the state of employmentCase Management Certification (CCM) or ability to obtain CCM within 12 months after the first year of employment4+ years of diverse clinical experience in caring for the acutely ill patients with multiple disease conditions3+ years of managed care and/ or case management experienceKnowledge of utilization management, quality improvement, and discharge planningKnowledgeable in Microsoft Office applications including Outlook, Word, and ExcelProven ability to read, analyze and interpret information in medical records, and health plan documentsProven ability to problem solve and identify community resourcesProven planning, organizing, conflict resolution, negotiating and interpersonal skillsProven ability to utilize critical thinking skills, nursing judgement, and decision-making skillsProven ability to prioritize, plan, and handle multiple tasks/demands simultaneouslyProven ability to frequently stand, walk or sit for prolonged periodsReliable transportation and ability to maintain an active driver’s licenseAbility to travel within the RGV areaThis position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease


Preferred Qualifications:

Experience working with psychiatric and geriatric patient populationsBilingual (English/Spanish) language proficiency


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.

Diversity creates a healthier atmosphere: UnitedHealth Group is 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.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.