RN Case Manager - Kona, HI - Telecommuter
Location: Kailua-Kona Hawaii
Description: UnitedHealth Group is in need of RN Case Manager - Kona, HI - Telecommuter right now, this vacancy will be placed in Hawaii. More details about this vacancy 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. Jo! in 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 Kona area.
Apply for this position with your eyes wide open. Click here to view the Realistic Job Preview: UHC Community & State Field_Based_Case_Manager.pdf
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 finding! s
Utilizing Milliman criteria to determine if patients are! in the correct hospital setting
Making welcome home calls to ensure that discharged member 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
UnitedHealthcar! e Community & State is part of the family of 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 se! riously shaping the way health care services are delivered.Diversity cr! eates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth 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
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to UnitedHealth Group.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Thu, 07 Nov 2013 10:31:00 GMT
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