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TRICARE Community Nurse RN Case Manager - Seattle, WA
| Hours | Full-time, Part-time |
|---|---|
| Location | Seattle, WA Seattle, Washington |
About this job
This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nation stronger. Talk about meaningful work. What an important role. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. Make your last career change one of inspiration. Find out more about these opportunities to do your life's best work. (sm)
UnitedHealthcare Military and Veteran have an excellent opportunity available to join our company as a Community Nurse (RN) Case Manager. As a Community Nurse Case Manager, you will be responsible for working with a multidisciplinary team providing clinical case management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. This position provides both in-home, hospital based and telephonic case management and education in support of TRICARE beneficiaries. Our mission is to help people live their lives to the fullest. We live our values are Integrity, Compassion, Relationships, Innovation, and Performance.
This position will support Madigan Army Medical Center. Candidate must live in surrounding community, Gig Harbor, Port Orchard, Bremerton and travel into the community.
Primary Responsibilities:
- Educating and supporting the individual through face-to-face and telephonic assessment and expert clinical management interventions
- Evaluating delays in care, coordinates with Utilization Management team facilitating discharge planning, and arranging for alternative care services to facilitate timely and appropriate discharge
- Documenting all clinical information in accordance with UnitedHealthcare Military & Veterans policies and procedures in the member's electronic medical record
- Assess and interprets beneficiary needs, gaps, and requirements related to his/her disease condition
- Develops CM care plan in collaboration with beneficiary/caregiver/provider in order to promote optimal health
- Collaborates with specialists, physicians, and medical directors to provide the necessary care and cost efficient care for the beneficiary related to their condition
- Assesses the effectiveness and quality of services provided related to clinical, functional, and outcomes
- Consulting and collaborating with Behavioral Health CM colleagues on Bio/Psycho/Social assessments and service plans in a multidisciplinary team
- Adheres to all ethical, legal/regulatory and accreditation standards
Requirements
Required Qualifications:
- Current unrestricted RN license in the state of residence
- 2-3 years experienced in community delivery of care (home care/ hospice/ Community care management)
- At least 5 years of experience in a hospital setting, acute care, outpatient direct care experience OR experience as a telephonic Case Manager managing disease conditions
- Case Management Certification- or ability to achieve in 18 months
- United States Citizenship
- Ability to obtain favorable adjudication following submission of Department of Defense
- Knowledge of managed care principles
- Strong computer skills
- Behavioral health/ substance abuse experience helpful
- Successful candidates will be highly organized and possess excellent communication skills
- Unrestricted driver's license
Preferred Qualifications:
- BSN preferred
- Knowledge or Military or Veterans experience preferred
Physical Requirements:
- Field based role which requires local travel within an assigned geographical territory, assessments and follow-up visits will be completed face to face. When not working in the field, work will be completed from a home based office
As a requirement of UnitedHealth Group's contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense , (the National Agency Check Legal and Credit or “NACLCâ€). Successful completion of the NACLC process is a requirement for continued employment in this role. NACLC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense. Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received. Failure to obtain final NACLC approval will result in termination from this role.
Careers at UnitedHealthcare Military & Veterans. When it comes to their health care, the men and women who help keep the peace deserve the greatest peace of mind. That's why UnitedHealthcare is the organization that's called on to serve them and their loved ones. We're all about finding better ways to help improve their lives no matter where life may take them. So our career opportunities take challenge to a higher level. If you have a commitment to quality that mirrors our commitment to the men and women of the armed forces, take time to learn more about the career paths available here. It's a genuine 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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Community Nurse, nurse, RN, registered nurse, case manager, case management, CM, CCM, military, Madigan Army Medical Center, Tricare, veterans, Seattle, Gig Harbor, Port Orchard, Bremerton, WA, Washington
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