RN Case Manager - Telecommute - Work Hours 11:00AM-7:00PM Pacific time zone

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. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm)
 
As a Field-Based Case Manager, you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting members with safe, effective transitions from care environments to where they live. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for us all. Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve.
 
What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
 
Work hours are 11:00AM – 7:00PM in Pacific time zone; Candidate must have California RN license
Some travel required
 
Primary Responsibilities:


Visit members in their homes and / or other settings, including community centers, hospitals or providers' offices

Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction

Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels

Assist members with the transition from a care facility back to their home

Engage members either face to face or over the phone to have a discussion about their health

Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care)

Conduct comprehensive member assessment that includes bio-psychosocial, functional, and behavioral health needs

Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment

Identify when supplemental assessments are needed and conduct supplemental assessments

Identify member service needs related to health concerns

Identify urgent member situations and escalate to next level when necessary

Engage member to participate in the assessment process and collaboratively develop plan of care based on their individual needs, preferences, and objectives
Must live in one of the  following locations: San Diego, Orange County,or Inland Empire Alhambra, Riverside, CA.

Required Qualifications:


Current, unrestricted RN license in California

3+ years clinical experience in a hospital, acute care, home health / hospice, direct care or case management

Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications

Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action

Reliable transportation to travel to member homes or other locations within service delivery area

Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Preferred Qualifications:


Case Management experience including Certification in Case Management

Telephonic Home care / field based case management

Medicaid, Medicare, Managed Care experience

Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs

Bilingual skills

Experience in Home & Community based or Long Term Care services delivery
Are you ready for an opportunity that can transform your career? Get on the Alere Health team as we continue to transform health care every day.
Now part of Optum, Alere Health is building a future of opportunities. We provide leading edge products and services including condition and case management, wellbeing, and women's and children's health services for more than 200 health plans, 89 Fortune 500 employers, 29 states and 22 million people. Now, with our integration into Optum and the UnitedHealth Group organization, our growth and impact is multiplying every day.
If you bring a lot of passion and aspiration to your work, you'll fit in here and discover the opportunity 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: Case Manager, CM, CCM, Telephonic, telecommuter, telecommute, telecommuting, remote, RN, Registered Nurse, Nurse, hospital, acute care, home health/hospice, direct care, California, CA, Orange County, Inland Empire, Riverside, Alhambra