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in Raleigh, NC

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Hours Full-time, Part-time
Location Raleigh, NC
Raleigh, North Carolina

About this job


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. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm)



As a Field-Based Case Manager, you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting members with safe, effective transitions from care environments to where they live. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for us all.


 


Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve.



What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.


 


 


Apply for this position with your eyes wide open.  Click here to view the Realistic Job Preview:


 


 


Responsibilities:



  • Visit Medicaid 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 home and community base services. 

  • Assist members with the transition from a care facility back to their home or a home care facility

  • Participate in State Audit Ride Alongs

Requirements

Required Qualifications:




  • Current, unrestricted RN license in North Carolina


  • Reliable transportation to travel to member homes or other locations within service delivery area (greater Raleigh/Durham, NC area)


  • 3+ years clinical experience in any setting


  • Ability to work independently


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


  • Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action


  • Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others


 


Preferred Qualifications:



  • Bachelor's Degree in Nursing

  • Certified Case Manager (CCM)

  • Prior experience working for an insurance company other managed care setting in case management, utilization review, discharge planning, etc.

  • Previous experience with the Medicare population


UnitedHealth Group is working to create the health care system of tomorrow.



Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.



Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.



Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.




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.

 

 

 

 

 

Job keywords: Registered Nurse, RN, case manager, case management, managed care, field-based, work from home, telecommute, Medicare, geriatric, elderly, SNF, long term care, Raleigh, Durham, NC North Carolina