Case Manager RN, Wauwatosa, WI

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)

Responsibilities for Case Managers include:

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  Making outbound calls to assess members' current health status


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  Identifying gaps or barriers in treatment plans


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  Providing patient education to assist with self management


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  Interacting with Medical Directors on challenging cases


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  Coordinating care for members


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  Making referrals to outside sources


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


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  Educating members on disease processes


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  Encouraging members to make healthy lifestyle changes


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  Documenting and tracking findings


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


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  Conducting face to face assessments in the member's home


• Applying State guidelines to requests for services
  

• Current, unrestricted RN license in the State


• 2+ years experience in a hospital setting, acute care, direct care experience or experience as a Home Health Case Manager


• Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment

Additional Assets Preferred:

• Bachelor's Degree


• A background in managed care


• Home Health Case Management experience


• 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.SM

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: RN, Registered Nurse, Case Manager, CCM, Managed Care, Utilization Review, Utilization Management, Acute Care, Hospital, Wauwatosa, Milwaukee, Wisconsin, WI