Telephonic Nurse Case Manager - Remote in New Jersey

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)We’re making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry forward. As a Telephone Case Manager RN, you’ll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!If you are located within the state of New Jersey and have a RN license in NJ, you will have the flexibility to work remotely as you take on some tough challenges.Primary Responsibilities:

Make outbound calls to assess members' current health status

Demonstrate an ability to deliver effective telephonic case management in a manner that promotes behavior change for the NJ

Identify gaps or barriers in treatment plans

Provide patient education to assist with self-management

Interact with Medical Directors on challenging cases including presenting at rounds

Coordinate care for members

Make referrals to outside sources

Coordinate services as needed (home health, DME, etc.)

Educate members on disease processes

Encourage members to make healthy lifestyle changes

Document and track findings

Make “welcome home” calls to ensure that discharged member receive the necessary services and resources

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 New Jersey

2+ years of RN experience in a hospital setting, acute care, direct care experience and/or experience as a Case Manager

1+ years of paid professional experience working directly with the elderly or physically disabled in an institutional or community setting

1+ years of experience in long-term care, home health, hospice, public health or assisted living

Ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word and Excel

Ability to talk and type proficiently at the same time

Preferred Qualifications:

Bachelor's Degree or greater

Certified Case Manager (CCM)

DSNP

Experience working with populations with special needs

Experience/exposure with discharge planning

Experience in utilization review, concurrent review and/or risk management

Experience with government health programs (Medicaid / Medicare)

Case Management experience

Background in managed care

Bilingual - English/Spanish

Proven solid organizational skills and multitasking abilities

Careers 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 employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.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.