About the Company
UnitedHealthcare is a company that relies on the talents of its employees to meet the challenges of an ever-changing healthcare landscape. As part of the Optum and UnitedHealth Group family of businesses, we have more than 1.3 million people serving over 100 million people in 130 countries. We are committed to helping people live healthier lives and making the health system work better for everyone. Our culture is built on a foundation of integrity, compassion, relationships, innovation, and performance. We value diversity and strive to create an inclusive environment where all employees can thrive.
Job Description
Join UnitedHealthcare as a Case Management RN and play a pivotal role in optimizing healthcare outcomes for our members, all from the comfort of your home. This is a 100% Work From Home (WFH) opportunity, offering flexibility while making a significant impact. As a Case Management RN, you will be responsible for assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required to meet an individual’s health needs. You will advocate for our members, ensuring they receive appropriate, cost-effective care through the continuum of care. This role requires excellent clinical judgment, strong communication skills, and a passion for improving health outcomes. You will collaborate with patients, families, physicians, and other healthcare professionals to develop and implement care plans, manage resources, and facilitate smooth transitions of care.
Key Responsibilities
- Conduct comprehensive assessments of member's health needs, including clinical, social, and emotional factors.
- Develop, implement, and monitor individualized care plans in collaboration with members, families, and healthcare providers.
- Coordinate healthcare services and resources to ensure continuity of care and appropriate utilization.
- Educate members and families on health conditions, treatment options, and self-management strategies.
- Evaluate the effectiveness of care plans and adjust as necessary to achieve desired outcomes.
- Advocate for members to ensure access to necessary services and resources.
- Document all interactions and interventions accurately and timely in the electronic health record.
- Adhere to all company policies, procedures, and regulatory requirements.
- Participate in interdisciplinary team meetings and collaborate with colleagues to optimize member care.
Required Skills
- Current, unrestricted Registered Nurse (RN) license in the state of Florida (or ability to obtain).
- Minimum of 3 years of clinical experience as a Registered Nurse.
- Strong knowledge of case management principles and practices.
- Excellent communication, interpersonal, and organizational skills.
- Proficiency with computer systems, including electronic health records and Microsoft Office Suite.
- Ability to work independently and manage a diverse caseload effectively in a remote environment.
- Demonstrated ability to critically think and problem-solve complex clinical situations.
Preferred Qualifications
- Bachelor of Science in Nursing (BSN).
- Certified Case Manager (CCM) certification.
- Experience in managed care, home health, or community health.
- Previous experience in a remote work environment.
- Bilingual proficiency (especially Spanish).
Perks & Benefits
- Comprehensive health, dental, and vision insurance.
- Generous paid time off and holidays.
- 401(k) retirement plan with company match.
- Tuition reimbursement and continuing education opportunities.
- Employee assistance program.
- Work-from-home stipend for internet and home office setup.
- Professional development and career growth opportunities.
- Employee wellness programs.
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
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