Field RN Case Manager - TX STAR Kids - E, NE and SE Houston, TX - Full-time / Part-time

The RN Field Case Manager for the STAR Kids program will manage the care of members in their homes or other community settings by completing in-person health assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent.  The Service Coordinator will provide clinical and medical management services, including case management, health assessments, interventions, and discharge planning.  This candidate may identify, coordinate or provide appropriate levels of care under the direct supervision of an RN or MD.  Work is generally self-directed and not prescribed; this person will work from home when not completing face-to-face patient assessments in the field, so it will be important to function in a less structured work environment.
 
 
**Please Note:  If you have already applied for a Field Case Manager role for TX STAR Kids, you do not need to apply to this one.  Please only apply to the posting for the location that is the closest to where you reside”
 Primary Responsibilities:


Engaging members / families in person (in their homes or in a facility) to coordinate services, community resources, and treatment needs
Travel in assigned territory as needed to complete member assessments; the rest of the time will be spent working in a home-based office
Delivering a holistic approach to coordinated care based on the member’s needs using a person centered philosophy
Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file
Creating, reviewing and revising care plans and focusing on a holistic approach
Functioning as an advocate for member
Collaborating with the member's PCP to deliver and coordinate necessary services
Building relationships with members and their families; assisting them with coordination of  health choices
Ensuring cases are documented in a timely manner
Coordination with other state agencies, community resources and providers

Required Qualifications:

RN License, must be current and unrestricted in state of Texas
3 + years recent experience as a case manager, home care RN, or clinical RN experience in acute or rehab care setting
High Speed Internet access in home
Strong computer proficiency (Microsoft Word, Outlook, and Internet)
Reliable transportation and willing to travel throughout surrounding area on regular basis
Preferred Qualifications:

Pediatric experience
Experience with Medicare and / or Medicaid
MDCP (Medically Dependent Children’s Program)
Bachelor’s Degree
Case Management experience
Managed care experience
Bilingual (Spanish)
CCM certification
Experience with complex populations
 
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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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, nurse, case manager, CCM, Medicaid Waver, MDCP, pediatrics, field based, home care, complex case management, managed care, Harris County, Houston, La Porte, Pasadena, Deer Park, Channelview, Crosby, TX, Texas, TXSTARKIDS
Â