Field based RN Case Manager - Hampden County at Springfield

Job Description

For those who want to invent the future of health care, heres your opportunity. Were going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your lifes best work. Apply for this position with your eyes wide open. Click here to view the Realistic Job Preview: UHC Community & State Field_Based_Case_Manager.pdfResponsibilities for Case Managers include:Making outbound calls to assess members current health status Identifying gaps or barriers in treatment plans Providing patient education to assist with self management Interacting with Medical Directors on challenging casesCoordinating care for membersMaking referrals to outside sourcesCoordinating services as needed (home health, DME, etc.)Educating members on disease processesEncouraging members to make healthy lifestyle changesDocumenting and tracking findings Making welcome home calls to ensure that discharged member receive the necessary services and resourcesThe RN Case Manager is atelecommuter position. Candidate will perform face to face assessments in enrollees homes as basis for care coordination.UnitedHealthcare Community & State is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If youre ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State.We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach. This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.

Job Requirements

Current, unrestricted RN license in the StateMinimum 2years experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance companyBasic level of experience with Microsoft Word, with the ability to navigate a Windows environmentValid drivers license, reliable transportation, and current automobile insuranceAdditional Assets Preferred:Bachelors DegreeAbility to speak Spanish, Chinese, Russian, Albanian and/or VietnameseA background in managed careCase Management experienceHome Care experienceCertified Case Manager (CCM)Experience/exposure with discharge planningExperience in utilization review, concurrent review and/or risk managementDiversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Country: USA, State: Massachusetts, City: Springfield, Company: UnitedHealth Group.