Case Manager for United Healthcare Community and State
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Responsibilities for Case Managers include:
-Engaging members telephonically to coordinate services, community resources, and treatment needs
-Delivering a holistic approach to coordinated care based on the enrollee needs
-Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file
-Creating, reviewing and revising Plan of Care plans and focusing on disease management
-Functioning as an advocate for members and decreasing unnecessary hospitalizations
-Collaborating with the member's PCP to deliver and coordinate necessary services
-Building relationships with members and their families; assisting them with proper health choices
-Ensuring cases are documented in a timely manner
What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in 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.
Positions in this function require education/certification/licensure other than an RN, such as BSW, MSW, Respiratory Therapist, Dietician, Nutritionist, Occupational Therapist, etc. Positions are responsible for providing clinical and medical management services, including case management, health assessments, interventions, and discharge planning. May identify, coordinate or provide appropriate levels of care under the direct supervision of an RN or MD. This function does not include Health Coach, Health Educator and Health Advocate roles that do not require an RN. Those roles are found in the Wellness Coach Management function.
- Generally work is self-directed and not prescribed.
- Works with less structured, more complex issues.
- Serves as a resource to others.
Requirements:
-Bachelor's level degree in Social Work or other related field
-Minimum of 1 year clinical or case management experience
-Minimum of 1 year experience in long-term care, home health, hospice, public health, or assisted living
Additional Assets Preferred:
-Medicare/Medicaid experience
-A background working in geriatric special needs
-A background in behavioral health
-Experience with electronic charting
-Ability to multitask
-Basic level of proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook)
UnitedHealthcare 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 seriously shaping the way health care services are delivered.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth 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.
