RN Field Service Coordinator - Honolulu, HI - Full-time / Part-time

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)

UnitedHealthcare Community & State has an immediate need for an RN Case Manager to make home visits and conduct assessments on patients throughout the island of Oahu.

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Primary Responsibilities:

• Making outbound calls and home visits to assess members' current health status


• Identifying gaps or barriers in treatment plans


• Providing patient education to assist with self management


• Interacting with Medical Directors on challenging cases


• Coordinating care for members


• Making referrals to outside sources


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


• Educating members on disease processes


• Encouraging members to make healthy lifestyle changes


• Documenting and tracking findings


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


• Making welcome home calls to ensure that discharged member receive the necessary services and resources

Required Qualifications:

• Current, unrestricted RN license in the State of Hawaii


• A minimum of 2 years of clinical experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company


• Demonstrated proficiency with Microsoft Word and Excel, including the ability to navigate a Windows environment


• Current, unrestricted Driver's License; reliable transportation; and proof of automobile insurance

Preferred Qualifications:

• Bachelor's Degree


• A background in managed care


• Case Management experience


• Certified Case Manager (CCM)


• Experience/exposure with discharge planning


• Experience in utilization review, concurrent review and/or risk management


• Experience in a community-based setting, such as Hospice or Home Health

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, 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.

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

Job Keywords: RN, Registered Nurse, Case Manager, Service Coordinator, Floor Nurse, Medicaid, Quest, Home Health, Hospice, Honolulu, HI, Honolulu, Hawaii,