The RN Field Case Manager for the STAR Kids Program will manage the care of members in their homes or other community settings by completing in-person health assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent. We are hiring Field RN Case Managers in the Weslaco and McAllen, Texas area. Primary Responsibilities:Engaging members / families in their homes or in a facility to coordinate services, community resources and treatment needs Travel in assigned territory as needed to complete member assessments; the rest of the time will be spent working in a home-based office Delivering a holistic approach to coordinated care based on the member's needs using a person centered approach Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file Creating, reviewing and revising care plans and focusing on a holistic approach Functioning as an advocate for member Collaborating with the member's PCP to deliver and coordinate necessary services Building relationships with members and their families; assisting them with coordination of health choices Ensuring cases are documented in a timely manner Coordination with other state agencies, community resources and providers
Required Qualifications:RN License, must be current and unrestricted in state of Texas 3+ years of recent experience as a RN in case management, Home Health or clinical experience in acute, rehab or long term care setting High Speed Internet access in home Strong computer proficiency to include the ability to use Microsoft Word, Outlook and Internet on a daily basis Access to reliable transportation and willingness to travel throughout surrounding area on regular basisPediatric experienceCase Management experience Preferred Qualifications: Home Health Experience with Medicare and / or Medicaid MDCP (Medically Dependent Children's Program) experience Bachelor's Degree or Higher Managed care experience Bilingual (Spanish) CCM certification Experience with complex populationsCareers at UnitedHealthcare Community & State. 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. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place 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: TXSTARKIDS, RN, nurse, case manager, case management, CCM, Medicaid Waver, Medicaid, MDCP, pediatrics, field based, home care, home health, complex case management, managed care, bilingual, Weslaco, McAllen, TX, Texas
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.