Discharge Care Manager Nurse, RN - Remote in Pennsylvania
About The Position
The Discharge Care Manager at UnitedHealth Group implements day-to-day telephonic case management interventions for identified high-risk members. The role assesses and interprets member needs and identifies solutions to support healthier lives. The Discharge Care Manager coordinates and documents discharge plans in collaboration with other clinical care team members and follows members while they are in an acute inpatient setting. This position is remote for employees who reside in Pennsylvania and requires a designated home workspace and secure, high-speed cable/DSL internet access. Remote employees must follow UnitedHealth Group’s Telecommuter Policy.
Requirements
- Bachelor of Science in Nursing.
- Current, unrestricted Compact RN license in Pennsylvania.
- At least 5 years of recent experience in an acute inpatient hospital setting.
- At least 2 years of experience in discharge planning and/or case management.
- Experience with multiple health insurance products (Medicaid, Medicare, and Commercial) within the insurance industry, including regulatory and compliance requirements.
- Proficiency in typing and software applications including Microsoft Word, Excel, PowerPoint, and Outlook.
- A designated workspace and access to install secure high-speed internet via cable/DSL at home.
- Permanent residence in Pennsylvania.
Nice To Haves
- Case Management Certification.
- Experience with InterQual/MCG Guidelines or other nationally recognized practice guidelines.
- Experience working as a nurse in Florida.
- Demonstrated ability to focus activities toward a strategic direction, develop tactical plans, drive performance, and achieve targets.
Responsibilities
- Evaluate member discharge needs, including delays in care and readmission prevention plans.
- Collaborate with providers and members to coordinate post-discharge care.
- Participate in rounds with the Medical Director to discuss cases as needed.
- Identify internal or community-based program support and resources.
- Coordinate with facility Discharge Planners to ensure post-hospital services are arranged before discharge.
- Assist with coordination of difficult cases requiring placement in an alternate level-of-care facility.
- Document discharge activities according to standard operating procedures and data-entry strategies.
- Participate in team meetings, education discussions, and related activities.
- Work collaboratively with team members in a matrix environment to support a positive end-to-end experience for members, providers, and care teams.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution, subject to eligibility requirements.
- Career development opportunities.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
