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Senior RN Case Manager - Telecommute in FL - Oldsmar, FL - Case Management

Company: UnitedHealth Group
Location: Oldsmar
Posted on: November 19, 2021

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) -- The Senior RN Case Manager will provide case management, care coordination and medical management through outreach to members with chronic conditions and ongoing clinical needs while in their home country and abroad. -- **--Candidates must be available to work Monday through Friday 3:00 - 11:00 pm EST. --** -- The ideal candidate will live in Tampa or Oldsmar, Florida. -- If you live in Florida, you'll enjoy the flexibility to telecommute* as you take on some tough challenges. -- --Primary Responsibilities:

  • Utilize condition specific information to educate and assist members with their clinical condition
  • Conduct member assessments that address their immediate concerns and identify any additional clinical, mental health or social support needs
  • Create an action plan to address the members needs
  • Check members benefits and identify global resources to respond to members needs
  • Initiate action plan and follow up with member to make sure all needs are met
  • Coordinate with provider's as necessary to facilitate members care
  • Document actions in clinical management system
  • Collaborate with other team members as needed
  • Strong critical thinking skills
  • Solution oriented and think outside of the box
  • Ability to converse with a member via phone while documenting in the clinical platforms
  • Organizational skills and multitasking abilities will be keys to success -- -- 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:
    • Current, unrestricted RN license in the State of residency
    • 3+ years of experience working in Medical / Surgical unit in a hospital setting
    • 3+ years of medical case management experience
    • Proficient in navigating and documenting in clinical platforms
    • Demonstrate a proficiency in computer skills including Microsoft Word, with the ability to navigate a Windows environment
    • Designated work space and access to install secure high speed Internet via cable / DSL in home
    • Ability to commit to a Monday - Friday, 3:00 - 11:00 pm EST schedule
    • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance -- Preferred Qualifications:
      • Bachelor's degree
      • Certified Case Manager (CCM)
      • Second language proficiency (French, German, Chinese or other)
      • International travel experience with awareness and understanding of the variation in cultures and the challenges of healthcare delivery in the global arena and the potential impact on the health and safety of travelers
      • Proficient working in ICUE
      • Previous managed care experience
      • Experience with discharge planning
      • Home care experience -- If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years. -- To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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, Medical Surgical, Inpatient, Telephonic Nursing, CCM, Medicaid, Care Coordination, Case Management, Utilization Review, Prior Authorization, Discharge Planning, Bilingual, Managed Care, Tampa, Oldsmar, FL, Florida, UHG, UnitedHealth Group, UHC, UnitedHealthcare

Keywords: UnitedHealth Group, Tampa , Senior RN Case Manager - Telecommute in FL - Oldsmar, FL - Case Management, Executive , Oldsmar, Florida

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