- Visit members in the hospital prior to discharge
- Provide a complete continuum of quality care through close communication with members via in - person or on - phone interaction
- Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
- Assist members with the transition from a care facility back to their home
- Current, unrestricted RN license in the State of Texas
- 3+ years clinical experience in a hospital, acute care, home health/hospice, direct care or case management
- Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
- Proven ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
- Proven ability to be flexible with daily schedule
- Proven problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
- Reliable transportation to travel within service delivery area
- Case Management experience including Certification in Case Management
- Medicaid, Medicare, Managed Care experience
- Experience working with the needs of vulnerable populations who have chronic or complex conditions
- Oncology experience
- Home care / field based case management
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Field Based Case Manager RN - Frisco, United States - UnitedHealth Group
Description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
As a Field - Based Case Manager, you'll wear many hats, and will be visiting members in the hospital before discharge possibly with new medications or diagnoses. You'll assist members with safe, effective transitions from care environments to where they live. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for us all.
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.
Primary Responsibilities:
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:
Preferred Qualifications:
At 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.
