Rn Case Manager at UnitedHealthcare

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

This is a Field-Based Role with a Home-Based Office

If you reside within Reno County, KS, you will have the flexibility to work in both the field as well as telecommute* as you take on some tough challenges.

Primary Responsibilities: 

• Assess, plan and implement care strategies that are individualized and directed toward the most appropriate level of care for Medicare and Medicaid members while proactively engaging the member to manage their own health and healthcare


• Utilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines


• This is high volume, high pace, customer service environment. Must be efficient, productive and thorough dealing with our members over the phone and in person


• Must be strongly patient-focused and adaptable to changes


• Proactively engage the member to manage their own health and healthcare using Motivational Interviewing Skills


• Highly detailed charting on member’s reported needs, medical and behavioral health history, current management of their health concerns and social determinacies of health needs and medication reconciliation


• Manage the Transitions of Care for members when discharged from in-patient hospital stays and emergency room


• Help member set goals and develop a care plan to achieve those goals and update their care plan regularly as they progress toward goals met


• Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician and specialists


• Identify and initiate referrals for social service programs; including financial, community resources, medical, behavioral health, psychosocial, community and state supportive services


• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members


• Advocate for Persons as needed to ensure the Person has access to care


• Provide clinical support for nonclinical staff of the team, in way of education on medications, diagnosis and disease specific education


• Collaborate with interdisciplinary team to ensure appropriate services and identify needs


• Strong computer and software navigation skills are critical


• Be flexible, adaptable and, above all, patient in all types of situations

What are the reasons to consider working for UnitedHealth Group?  Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays


• Medical Plan options along with participation in a Health Spending Account or a Health Saving account


• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage


• 401(k) Savings Plan, Employee Stock Purchase Plan


• Education Reimbursement


• Employee Discounts


• Employee Assistance Program


• Employee Referral Bonus Program


• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)


• More information can be downloaded at: 
  http://uhg.hr/uhgbenefits

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 RN license in the state of Kansas 


• 2+ years of experience working in the community as a RN in acute inpatient care, long-term care, home health, hospice, public health, behavioral health, or assisted living


• Intermediate level of proficiency working with MS Word, Excel and Microsoft Outlook


• Ability to travel up to 75% of the time with reliable transportation, with a current and non-restricted state of Kansas Driver’s License and State-required insurance


• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)


• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

• Bachelor’s degree in nursing


• A background in managing Medicaid and Medicare populations with complex medical and behavioral needs


• Experience with arranging community resources


• Experience with electronic charting

 *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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. 

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. 

#RPO #Red