[Hiring] Discharge Care Manager Nurse @UnitedHealth Group

Role Description

As a Discharge Care Manager at UnitedHealth Group, you will be responsible for implementing day-to-day telephonic case management interventions for identified high risk members. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives.

• Coordinate and document the discharge plan in collaboration with other key clinical care team members
• Follow the member while in the acute inpatient setting
• Evaluate member discharge needs including delays in care and readmission prevention plan
• Collaborate with providers and members to coordinate care post discharge
• Participate in rounds with the Medical Director to discuss cases as needed
• Identify internal or community-based program support or resources
• Coordinate with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged
• Assist with coordination of difficult cases needing placement in an alternate level of care facility
• Document discharge activities as outlined in standard operating procedures and data entry strategies
• Participate in team meetings, education discussions and related activities
• Work collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams

Qualifications

• Bachelor of Science in Nursing
• Current, unrestricted Compact RN license in the state of Florida
• 5+ years of recent experience in the acute inpatient hospital setting
• 2+ years of experience of discharge planning and/or case management
• Experience working with multiple health insurance products (Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements
• Proficient in typing skills and software applications that includes, but is not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft Outlook
• Designated work space and access to install secure high speed internet via cable/DSL in your home
• Permanent residence within the state of Florida

Requirements

• Case Management Certification
• InterQual/MCG Guidelines or other nationally recognized practice guidelines
• Experience working as a nurse in the state of Florida
• Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance, and achieve targets

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)