RN Case Manager - Telephonic, NY
Company: UnitedHealth Group
Location: San Jose
Posted on: June 24, 2022
Job Description:
UnitedHealthcare is a company that's on the rise. We're
expanding in multiple directions, across borders and, most of all,
in the way we think. Here, innovation isn't about another gadget,
it's about transforming the health care industry. Ready to make a
difference? Make yourself at home with us and start doing your
life's best work.(sm) The RN Case Manager will be the primary care
manager for a panel of members with complex medical/behavioral
needs. -Care coordination activities will focus on supporting
member's medical, behavioral, and socioeconomic needs to promote
appropriate utilization of services and improved quality of care.
If you are located in NY, you will have the flexibility to
telecommute* as you take on some tough challenges. Primary
Responsibilities:
- Engage members telephonically to complete a comprehensive needs
assessment, including assessment of medical, behavioral,
functional, cultural, and socioeconomic needs
- Develop and implement person centered care plans to address
needs including management of chronic health conditions, health
promotion and wellness, social determinants of health, medication
management and member safety in alignment with evidence-based
guidelines
- Partner and collaborate with internal care team, providers, and
community resources/partners to implement care plan
- Provide education and coaching to support member
self-management of care needs and lifestyle changes to promote
health
- Support proactive discharge planning and manage/coordinate Care
Transition following ER visit, inpatient or Skilled Nursing
Facility (SNF) admission
- Advocate for members and families as needed to ensure the
member's needs and choices are fully represented and supported by
the health care team 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:
- Current, unrestricted independent licensure as a Registered
Nurse in New York
- 4+ years of Clinical Experience
- 1+ years of experience with MS Office, including Word, Excel,
and Outlook
- New York state issued ID or ability to obtain one prior to
hire
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation Preferred
Qualifications:
- BSN, Master's Degree or Higher in Clinical Field
- CCM certification
- 1+ years -of community case management experience coordinating
care for individuals with complex needs -
- Experience working in team-based care
- Background in Managed Care
- Telephonic Case Management
- UAS Assessment experience Physical Requirements
- Ability to remain stationary for long periods of time to
complete computer or tablet work duties To protect the health and
safety of our workforce, patients and communities we serve,
UnitedHealth Group and its affiliate companies require all
employees to disclose COVID-19 vaccination status prior to
beginning employment. In addition, some roles and locations require
full COVID-19 vaccination, including boosters, as an essential job
function. UnitedHealth Group adheres to all federal, state and
local COVID-19 vaccination regulations as well as all client
COVID-19 vaccination requirements and will obtain the necessary
information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment. Careers at
UnitedHealthcare Community & State. Challenge brings out the best
in us. It also attracts the best. That's why you'll find some of
the most amazingly talented people in health care here. We serve
the health care needs of low income adults and children with
debilitating illnesses such as cardiovascular disease, diabetes,
HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based
approach considers social, behavioral, economic, physical and
environmental factors. Join us. Work with proactive health care,
community and government partners to heal health care and create
positive change for those who need it most. This is the place to do
your life's best work.(sm) *All Telecommuters will be required to
adhere to UnitedHealth Group's Telecommuter Policy. 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.
Keywords: UnitedHealth Group, San Jose , RN Case Manager - Telephonic, NY, Healthcare , San Jose, California
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