High Risk RN Case Manager - Davidson County

• Engaging members in person (in their homes or facilities) to coordinate services, community resources, and treatment needs
  
• Functioning as an advocate for members and decreasing unnecessary hospitalizations and emergency room visits
  
• Travel in assigned territory as needed to complete patient assessments
  
• Delivering a holistic approach to coordinated care based on the enrollee needs
  
• Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file
  
• Creating, reviewing and revising care plans and focusing on disease management
  
• Collaborating with the member's PCP to deliver and coordinate necessary services
  
• Building relationships with members and their families; assisting them with proper health choices
  
• Ensuring cases are documented in a timely manner

• Current residence in the State of Tennessee
  
• Current, unrestricted RN license in the State of Tennessee
  
• 1+ years of Home Health or other Case Management experience
  
• 2+ years of clinical experience post licensure
  
• Field experience
  
• Level of proficiency with Microsoft Office, with the ability to navigate a Windows environment and ability to type and talk at the same time
  
• Strong organizational skills and multitasking abilities
  
• Reliable transportation with appropriate insurance, and the willingness to travel in the assigned territory 

• Bachelor's Degree in Nursing
  
• Certified Case Manager (CCM)
  
• Prior experience working in a health plan or other managed care setting
  
• Previous experience with the Medicaid population  

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, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Keywords: RN, nurse, home health care, case management, Medicaid, CCM, certified case manager, managed care, Davidson County, Nashville proper, East Nashville, TN, Tennessee

　

　

　

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.