[Hiring] Telephonic RN Case Manager @UnitedHealth Group

Role Description

Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs — helping patients access and navigate care anytime and anywhere.

This position is primarily remote and based in Iowa; however, Wisconsin licensure is required to support cross-state staffing coverage. Candidates must reside in either Iowa or Wisconsin and be prepared to take on challenging responsibilities in this role.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Assess the health status of members as within the scope of licensure and with the frequency established in the model of care.
• Establish goals to meet identified health care needs.
• Plan, implement and evaluate responses to the plan of care.
• Work collaboratively with the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care.
• Work closely with mental health clinicians to help bridge the gap between mental and physical health.
• Consult with the patient’s PCP, specialists, or other health care professionals as appropriate.
• Assess patient needs for community resources and make appropriate referrals for service.
• Facilitate the patient’s transition within and between health care settings in collaboration with the primary care physician and other treating physicians.
• Completely and accurately document in patient’s electronic medical record.
• Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit.
• Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations.
• Actively participate in organizational quality initiatives.
• Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery.
• Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs.
• Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members.

Qualifications

• Current unrestricted licensure as RN in Iowa and Wisconsin.
• 2+ years of experience as an RN.
• Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs.
• Computer skills, including use of Electronic Medical Records.
• Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes).
• Driver’s License and access to reliable transportation.

Requirements

• CCM.
• 6+ months of Case Management experience.
• Home health experience.
• Geriatric experience.
• Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).
• Salary range from $60,200 - $107,400 annually based on full-time employment.

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Company Description

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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