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in Cleveland, OH

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Hours Full-time, Part-time
Location Cleveland, OH
Cleveland, Ohio

About this job

There are so many incredible reasons to choose a career with UnitedHealth Group, but the most important things you need to know are, that in this job, you will:


 


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 resources such as Home Health Aides or Meals on Wheels


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


This position will cover Cuyahoga, Geauga, Lake, Lorain, and Medina counties.


 


As a Field-Based Case Manager with UnitedHealthcare Community & State, 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.


 


Nursing careers with UnitedHealth Group. 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.


 


This is the place to do your life's best work.(sm)

Requirements


Requirements:


Registered Nurse with current, unrestricted license in the state of OH


Reliable transportation to travel to member homes or other locations within service delivery area


Ability to travel within Loraine, Cuyahoga, Medina, Lake, Geauga Counties


Minimum of 3 years clinical experience in a hospital, acute care, home health/hospice, direct care or case management


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


Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others


 


Preferred Assets:


Case Management experience including Certification in Case Management


Home care/field based case management


Medicaid, Medicare, Managed Care experience


Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs


Bilingual skills


Experience in Home & Community based or Long Term Care services delivery


 


 


We are pleased to introduce UnitedHealthcare Connected – which will be available as of March 1, 2014, to individuals who are eligible for both Medicare and Medicaid in: Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull and Wayne counties.


 


UnitedHealthcare Connected is a partner in the state of Ohio's new integrated care delivery system for Medicare-Medicaid eligible enrollees (MMEs) called MyCare Ohio. UnitedHealthcare Connected  is dedicated to improving the quality and efficiency of care for members through a person-centered, seamless approach, and lessening administrative burdens for providers through assistance with higher acuity patients and claims simplification.


 


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:  RN, nurse, registered nurse, case manager, medicaid, medicare, telecommute, work from home