High Risk Case Manager RN - New Jersey - Full-time / Part-time

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. A passion for excellence you won't find anywhere else. We ask tough questions. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work.(sm)

As a Case Management RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need.

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.

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Primary Responsibilities:     

• Make outbound calls to assess members' current health status


• Identify gaps or barriers in treatment plans


• Provide patient education to assist with self management


• Interact with Medical Directors on challenging cases


• Coordinate care for members


• Make referrals to outside sources


• Coordinate services as needed (home health, DME, etc.)


• Educate members on disease processes


• Encourage members to make healthy lifestyle changes


• Document and track findings
  

Required Qualifications: 

• Current, unrestricted RN license in New Jersey 


• 2 or more years of experience in a hospital setting, acute care, direct care and/ or experience as a Case Manager


• Ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word

Preferred Qualifications: 

• Bachelor's Degree 


• A background in managed care 


• Case Management experience 


• Certified Case Manager (CCM) or CCM must be obtain within 30 months


• 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 with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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.

Job Keywords: RN; Case Manager; Discharge planning; Certified Case Manager; CCM; medicaid, NJ