RN Case Manager

UnitedHealth   •  

El Dorado, AR

Industry: Insurance


5 - 7 years

Posted 425 days ago

This job is no longer available.


Position Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)


If you are located near Americus, GA, you will have the flexibility to telecommute* as you take on some tough challenges.


This position will require visits to members at Medical Center of South Arkansas in El Dorado, AR


Primary Responsibilities: 

  • Visit members in the hospital to engage in post hospital program
  • Make concerted effort to find members post hospital that are difficult to reach
  • Make initial post hospital call within 3 days of discharge to ensure that discharged member receive the necessary services and resources
  • Identify gaps or barriers in treatment plans
  • Provide patient education to assist with self - management
  • Interact with Medical Directors or member’s PCP on challenging cases
  • Coordinate care and services for members
  • Make referrals to outside sources
  • Educate members on disease processes
  • Encourage members to make healthy lifestyle changes
  • Document and tracking findings
  • Prioritize large volume of member activities
  • Adapt to regular process changes as new program evolves

Required Qualifications:

  • Current, unrestricted RN license in the State of residence
  • 5+ years’ experience as an RN in a clinical setting 
  • Proficient working with and navigating through computer programs such as WebEx, Sharepoint,  Microsoft Suite, and  Internet
  • High Speed DSL Cable internet in the home

 Preferred Qualifications:

  • Bachelor's Degree
  • A background in community care or home care
  • Case Management experience
  • Certified Case Manager (CCM)
  • Experience with discharge planning or transitional care services
  • Strong organizational skills and multitasking abilities will be keys to success