Nurse Case Manager RN

UnitedHealth Group - Basking Ridge, NJ (30+ days ago)3.6

There’s energy and excitement here, a shared mission to improve the lives of others as well as our own. A passion for excellence you won't find anywhere else. We ask tough questions. We push ourselves and each other to find smarter solutions. The result is a culture of performance that’s driving the health care industry forward. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work.(sm)

As a Nurse Case Manager RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need.

If you are located in the state of New Jersey, you will have the flexibility to telecommute* as you take on some tough challenges. This position will primarily be telephonic in nature but may require field visits as needed.

Primary Responsibilities:
Make outbound calls to assess members' current health status
Collaborate with Community Health Workers and Behavioral Health
Identify gaps or barriers in treatment plans
Provide patient education to assist with self-management
Interact with Medical Directors on challenging cases including presenting at rounds
Coordinate care for members
Make referrals to outside sources
Coordinate services as needed (home health, DME, etc.)
Educate members on disease processes
Encourage members to make healthy lifestyle changes
Document and track findings
Make “welcome home” calls to ensure that discharged member receive the necessary services and resources

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)

Required Qualifications:
Current, unrestricted RN license in New Jersey
2+ years of RN experience in a hospital setting, acute care, direct care experience and/or experience as a Case Manager
Ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word and Excel
Ability to talk and type proficiently at the same time
Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required
Reside in the state of New Jersey

Preferred Qualifications:
Bachelor's Degree or greater
Experience working with populations with special needs
A background in managed care
Case Management experience
Certified Case Manager (CCM)
Bilingual - English/Spanish
Experience/exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management
Strong organizational skills and multitasking abilities will be keys to success
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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.