RN Case Manager - Remote in Arizona
Work with a team of bright and motivated people as a RN Case Manager - Remote! This position is based in Remote and we are looking to fill it quickly. This position requires a strong and diverse skillset in relevant areas to drive success. This role offers a salary package of a competitive salary, commensurate with experience. Â Â At UnitedHealthcare, weÂre 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.
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 memberÂs medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.
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 memberÂs needs and choices are fully represented and supported by the health care team
YouÂll 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 Arizona
 4+ years of Clinical experience
 1+ years of experience with MS Office, including Word, Excel, and Outlook
 Must reside in Arizona
Preferred Qualifications
 BSN, Master's Degree or Higher in Clinical Field
 CCM certification
 1+ year(s) of community case management experience coordinating care for individuals with complex needs
 1+ year(s) of experience working with Medicaid and/or Medicare
 Experience working in team-based care
 Background in Managed Care
 DSNP experience
Physical Requirement
 Ability to remain stationary for long periods of time to complete computer or tablet work duties
 All employees working remotely will be required to adhere to UnitedHealth GroupÂs 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 Apply Job! Are You the One We're Looking For?If you believe you have what it takes, submit your application without delay. We are keen to hear from talented candidates like you.
Apply Now
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 memberÂs medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.
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 memberÂs needs and choices are fully represented and supported by the health care team
YouÂll 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 Arizona
 4+ years of Clinical experience
 1+ years of experience with MS Office, including Word, Excel, and Outlook
 Must reside in Arizona
Preferred Qualifications
 BSN, Master's Degree or Higher in Clinical Field
 CCM certification
 1+ year(s) of community case management experience coordinating care for individuals with complex needs
 1+ year(s) of experience working with Medicaid and/or Medicare
 Experience working in team-based care
 Background in Managed Care
 DSNP experience
Physical Requirement
 Ability to remain stationary for long periods of time to complete computer or tablet work duties
 All employees working remotely will be required to adhere to UnitedHealth GroupÂs 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 Apply Job! Are You the One We're Looking For?If you believe you have what it takes, submit your application without delay. We are keen to hear from talented candidates like you.
Apply Now