RN Case Manager - Remote Only in Arizona

Company: UnitedHealth Group
Location: Sun City West
Posted on: November 19, 2022

Job Description:

$5,000 -Sign-on Bonus for External Candidates
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 Arizona, you will have the flexibility to telecommute* as you take on some tough challenges. Must to be able to travel to the local Phoenix office as needed. -
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
    
  • 4+ years of Clinical experience
    
  • 1+ years of experience with MS Office, including Word, Excel, and Outlook
    
    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 -
      
    • 1+ years -of experience working with Medicaid and/or Medicare
      
    • Experience working in team-based care
      
    • Background in Managed Care
      
    • 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
      
      Physical Requirement:
      
      • 
        
      • 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
        **PLEASE NOTE** The Sign-On Bonus is only available to external candidates. - Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a Sign-On Bonus.
        
        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, Sun City West , RN Case Manager - Remote Only in Arizona, Executive , Sun City West, Arizona