RN Complex Case Manager - Remote
UMR
- New York, New York, United States
- New York, New York, United States
About
Member Care Coordination
Collaborates with physicians and multidisciplinary teams to develop and maintain up to date, coordinated care plans Acts as a liaison between members and the healthcare team to ensure effective communication and alignment of care plans
Member Referral Support
Assists physicians, members, and families in obtaining referrals to specialists Provides counseling and support tailored to the clinical needs of the member
Care Plan Development
Partners with designated physicians to create and maintain individualized Member Care Plans
Clinical Improvement
Actively participates in developing and deploying Coordination of Care activities aimed at enhancing the clinical experience for both referred members and referring physicians
Liaison Role
Facilitates communication among care team members to address the needs of both the member and the physician
Provider/Member Education
Educates members and care team participants about available community and health plan benefits and services
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:
Bachelor of Science in Nursing (BSN), or 5+ years case management experience in lieu of BSN Unrestricted current RN licensure in state of New York 3+ years of diverse clinical experience as a Registered Nurse; preferably in caring for the acutely ill members with multiple disease conditions 2+ years of experience in health plan case management, complex and disease case management Experience in a remote and telephonic role Proficient in Microsoft Office and Adobe products
Preferred Qualifications:
BSN Commission for Case Manager Certification (CCMC) Experience in discharge planning Experience in utilization review, concurrent review, or risk management Background in managed care
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Languages
- English
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