Friday , November 24 2023

Uhc Jobs – Case Manager RN

Website United HealthCare

Job Description:

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care.

If you are located in ND or SD, preferably Sioux Falls or Rapid City, SD, you will have the flexibility to telecommute* as you take on some tough challenges.

Job Responsibilities:

  • Identifying gaps or barriers in treatment plans
  • Coordinating services as needed (home health, DME, etc.)
  • Documenting and tracking findings
  • Making “welcome home” calls to ensure that discharged member receive the necessary services and resources
  • Making outbound calls to assess members’ current health status
  • Making referrals to outside sources
  • Encouraging members to make healthy lifestyle changes
  • Coordinating care for members
  • Interacting with Medical Directors on challenging cases
  • Providing clinic and provider education
  • Visiting members in the hospital to prepare for transition home (varies by market)
  • Providing patient education to assist with self-management
  • Educating members on disease processes

Job Requirements:

  • Background in managed care
  • Demonstrate a proficiency in computer skills including Microsoft Word, with the ability to navigate a Windows environment
  • Ability to travel up to 10% within a designated area
  • Designated work space and access to install secure high speed Internet via cable / DSL in home
  • Solid organizational skills and multitasking abilities will be keys to success
  • Full COVID-19 vaccination is an essential job function of this role.
  • Current, unrestricted RN license in South Dakota or North Dakota or compact license

Qualification & Experience:

  • 5+ years experience as an RN
  • Experience working with clients in the community setting
  • Experience / exposure with discharge planning
  • Bachelor’s Degree
  • 2+ years of Case Management experience
  • Certified Case Manager (CCM)
  • 3+ years clinical experience in a hospital, acute care, home health/hospice, direct care

Job Details:

Company: United HealthCare

Vacancy Type: Full Time

Job Location: Sioux Falls, SD, US

Application Deadline: N/A

Apply Here