Are you ready for your next challenge? Discover it here at UnitedHealth Group and help us reinvent the health system. We're going beyond basic care, providing integrated health programs with a member-centric focus. The challenge is ensuring we deliver the right care at the right time. When you join us as a RN Case Manager, you'll be making a difference in peoples' lives by offering support and assistance to members seeking health education, program referrals or general health services. You will work with patients to manage their health conditions for ultimate outcomes by taking in-bound calls and placing out-bound calls as dictated by consumer and business needs. You will also be working with clients who are recently released from incarceration, assessing their healthcare needs and assisting them in accessing the appropriate care.What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Whether in-person or over-the-phone, we're working to help others live healthier lives while providing an opportunity for you to do your life's best work.(sm) This is a 40 hours per week position. 30 hours of the week is spent at the Community Transitional Center, where you will review medical records of clients scheduled for release from jail and also assists with case management of those living at the Community Transitional Center. 10 hours per week is spent working from home where you will review prior authorization and pharmacy requests for the San Diego County Medical Services Program. If you are located in San Diego, CA, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities:Coordinates services and referrals to health programs Prepares individuals for physician visits Assesses and triages immediate health concerns Manages utilization through education Identifies problems or gaps in care offering opportunity for intervention Takes in-bound calls and places out-bound calls as dictated by consumer and business needs Special projects, initiatives and other job duties as assigned
Required Qualifications:Current, unrestricted RN licensure 3 or more years of Clinical RN experience, resulting in excellent clinical skills and judgment Strong inbound and outbound telephonic skills Intermediate computer skills (Microsoft Word, Outlook and Internet) with the ability to navigate a Windows environment and the ability to create, edit, save and send documents utilizing Microsoft Word Understanding of change and ability to move members along the continuum of change Intermediate or expert level of proficiency with being able to assess and identify needs and being able to influence and motivate Conflict management skills Able to work under pressure and appropriately prioritize responsibilitiesPreferred Qualifications:Bachelor's degree in Nursing Coaching and / or decision support experience Managed care experienceCareers 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) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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, Registered Nurse, Case Manager, Community Health, Public Health, San Diego, CA, California
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.