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  • Sebastian, FL

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UM Case Manager, RN - Treasure Coast, FL ( Local Telecommute )

UnitedHealth Group • Sebastian, FL

Posted 10 days ago

Job Snapshot

Full-Time
Healthcare - Health Services
Health Care, Nurse
0

Applicant

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Job Description


The more health care changes, the more certain values count. Like quality, patient-centric care, compassion and a dedication to going the extra mile. As an UM Case Manager RN you'll wear many hats and work in a variety of environments. But wherever you happen to find yourself, you’ll gain a profound sense of satisfaction knowing you’re helping to create a more efficient and effective health care system for everyone.



If you are located in or near the Treasure Coast, Florida, you will have the flexibility to telecommute* as you take on some tough challenges.


Primary Responsibilities:


  • Visit members in their homes and/or other settings, including community centers, hospitals or providers' offices
  • Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
  • Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
  • Assist members with the transition from a care facility back to their home

You’ll need to be comfortable dealing with a full range of in-home and facility-based environments. Most of the time you’ll work autonomously, so the ability to stay focused and motivated is essential.


Required Qualifications:


  • Current, unrestricted RN license 


  • 3 years clinical experience in a hospital, acute care, home health/hospice, direct care or case management


  • Experience with Utilization Management


  • Experience with Milliman or Interqual Guidelines


  • Computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications

Preferred Qualifications:


  • Case management experience including Certification in Case Management


  • Home care/field based case management


  • Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs


  • Bilingual skills


  • Experience in Home & Community based or Long Term Care services delivery

If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.



Make a difference in countless lives, starting with your own. Join us and start doing 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.




Job Keywords: Registered Nurse, RN, case manager, case management, managed care, field-based, healthcare, health, work from home, WFH, telecommuting, telecommute, winter park, FL, Florida

Job ID: 2551_770067_0
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