RN Case Manager - Hilo, HI - Independent, field
Location: Hilo Hawaii
Description: UnitedHealth Group is looking of RN Case Manager - Hilo, HI - Independent, field right now, this occupation will be placed in Hawaii. More details about this occupation opportunity kindly see the descriptions. For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum ! of care. Join us and help people live healthier lives while doing your life's best work.(sm) UnitedHealthcare Community & State has an immediate need for RN Case Managers to make home visits and conduct assessments on patients throughout the Hilo area.
Responsibilities for Case Managers include:
Making outbound calls and home visits to assess members' current health status
Identifying gaps or barriers in treatment plans
Providing patient education to assist with self management
Interacting with Medical Directors on challenging cases
Coordinating care for members
Making referrals to outside sources
Coordinating services as needed (home health, DME, etc.)
Educating members on disease processes
Encouraging members to make healthy lifestyle changes
Documenting and tracking findings
Utilizing Milliman criteria to determine if patients are in the correct hospital setting !
Making welcome home calls to ensure that discharged m! ember receive the necessary services and resources
Requirements
Current, unrestricted RN license in the State of Hawaii
A minimum of 2 years of experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
Demonstrated proficiency with Microsoft Word and Excel, including the ability to navigate a Windows environment
Current, unrestricted Driver's License; reliable transportation; and proof of automobile insurance
Experience in a community-based setting, such as Hospice or Home Health
DESIRED ASSETS:
Bachelor's Degree
A background in managed care
Case Management experience
Certified Case Manager (CCM)
Experience/exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management
UnitedHealthcare Community & State is part of the family o! f companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is serious! ly shaping the way health care services are delivered.
Dive! rsity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Keywords: RN, Nurse, Registered Nurse, Case Manager, Case Management, Milliman, Hospice, Home Health, Medicaid, Medicare
- .
If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to UnitedHealth Group.
If you interested on this occupation just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Sat, 03 Aug 2013 06:58:17 GMT
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.