United Healthcare Nursing 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 Nebraska, preferably Osceola, Plattsmouth, David City, or Nebraska City, you will have the flexibility to telecommute* as you take on some tough challenges.

Job Responsibilities:

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

Job Requirements:

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

Qualification & Experience:

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

Job Details:

Company: United HealthCare

Vacancy Type: Full Time

Job Location: Nebraska City, NE, US

Application Deadline: N/A

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