Field RN Case Manager - Southeast Houston, TX - Full-time / Part-time

 ** Candidates will be traveling throughout the Southeast parts of Houston **

UnitedHealthcare Community & State is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

If you're ready to help make health care work better for more people, you can make a historic impact on the future of healthcare at UnitedHealthcare Community & State.We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.

This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.

You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. UnitedHealthcare Community & State is currently hiring for a Field RN Case Manager in Southeast Houston, TX area. The Field RN Case Manager will be responsible for, but not limited to the following duties:

-Making outbound calls to assess members' current health status

-Identifying gaps or barriers in treatment plans

-Providing patient education to assist with self-management

-Interacting with Medical Directors on challenging cases

-Coordinating care for members

-Making referrals to outside sources

-Coordinating services as needed (home health, DME, etc.)

-Educating members on disease processes

-Encouraging members to make healthy lifestyle changes

-Documenting and tracking findings

-Utilizing Milliman criteria to determine if patients are in the correct hospital setting

-Making welcome home calls to ensure that discharged member receive the necessary services and resources

Basic Requirements:

-Current, unrestricted RN license in the state of Texas

-Minimum of 2 years' experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company

-Basic level of experience with Microsoft Word, Outlook, and Internet

Additional Assets Preferred:

-Bachelor's Degree

-A background in managed care

- Types 40-50 WPM

-Case Management experience

-Certified Case Manager (CCM)

-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 at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Keywords: Registered Nurse, RN, Field, Medicaid, Medicare, Southeast Houston, Houston, TX, Texas