RN Case Manager - City Scape Building, Phoenix, AZ

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)

The primary purpose of this position is for meeting all state contract obligations including, but not limited to, timely and comprehensive assessment, timely and comprehensive care plan development, and appropriate follow up for all assigned Skilled Nursing Facility members.

Primary Responsibilities include:

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  Engaging members in their homes telephonically to coordinate services, community resources, and  treatment needs



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  Delivering a holistic approach to coordinated care based on the enrollee needs



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  Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file



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  Creating, reviewing and revising Plan of Care plans and focusing on disease management



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  Functioning as an advocate for members and decreasing unnecessary hospitalizations



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  Collaborating with the member's PCP to deliver and coordinate necessary services



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  Building relationships with members and their families; assisting them with proper health choices



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  Ensuring cases are documented in a timely manner

Required Qualifications:

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  Current, unrestricted RN license in the State



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  2+ years experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company



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  Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
  

Preferred Qualifications:

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  Bachelor's Degree



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  A background in managed care



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  Case Management experience



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  Certified Case Manager (CCM)



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  Experience/exposure with discharge planning



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



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  Strong organizational skills and multitasking abilities will be keys to success
   

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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: Registered Nurse, downtown Phoenix, City Scape Building, call center, RN, hospital, acute care, direct care, case manager, managed care, case management, CCM, discharge planning, Phoenix, AZ, Arizona