RN Field Case Manager - Telephonic WA State ONLY
$91,500–$137,300 year
On-siteLouisville, Kentucky, United States
Job Summary
Assess the health status of members within the scope of licensure, establish goals to meet identified needs, and plan, implement, and evaluate responses to the care plan. Collaborate with the multidisciplinary team to engage resources addressing medical, functional, and social barriers, while consulting with PCPs and specialists as appropriate. Assess patient needs for community resources, facilitate transitions between care settings, and provide counseling and education regarding health maintenance and condition trajectory. Completely and accurately document all activities in the patient's electronic medical record, verifying and documenting patient understanding of the plan of care and follow-up recommendations. Actively participate in organizational quality initiatives and collaborative multidisciplinary team meetings to optimize care delivery efficiency. Maintain essential credentials, licensure, and CEUs while adhering to UnitedHealth Group's Telecommuter Policy for remote work in Washington.
Required Qualifications
- Current unrestricted licensure as RN in Washington
- 2+ years of experience as an RN
- Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
- Computer skills, including us of Electronic Medical Records
- Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
- Access to reliable home internet
- Access to home office to maintain HIPAA privacy
- Must adhere to UnitedHealth Group's Telecommuter Policy
- Candidates are required to pass a drug test before beginning employment
Desired Qualifications
- Case management certification
- 6+ months Case Management experience
- Home health experience
- Geriatric experience
- Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
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