Case Manager RN, West Cleveland, OH - 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)Primary Responsibilities:

Making outbound calls 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
This is position will be based traveling to different SNF and LTC in the West  Cleveland area to see patients

Required Qualifications:

Current, unrestricted RN license in the State
2+ years experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
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
Strong organizational skills and multitasking abilities will be keys to success
UnitedHealth Group is working to create the health care system of tomorrow.
 Already Fortune 14, 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, 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: Registered Nurse, RN, LTC, SNF, long-term care, acute care, direct care, case manager, managed care, case management, CCM, OH, Ohio, Cleveland