Field Case Manager RN - Durham, NC

UnitedHealth Group•Durham, NC

4d•Onsite

About The Position

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. Location: Field based position throughout Durham, NC Work Schedule: Monday through Friday 8:00 a.m. - 5:00 p.m. EST Hours may vary based on business needs Primary Responsibilities: Visit members in their homes to assess their current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person in home or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes. 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.

Requirements

Current, unrestricted RN license in the state of North Carolina
Certified in Basic Life Support
1+ years of clinical experience
Reside in or near Durham, NC
Driver's license and access to reliable transportation

Nice To Haves

BSN
Certified Case Manager (CCM)
Case management experience
Experience in discharge planning
Experience in utilization review, concurrent review or risk management
Experience in a telephonic role
Experience in home care/home visits
Experience working with MS Word, Excel and Outlook
Background in managed care
Bilingual in English/Spanish

Responsibilities

Visit members in their homes to assess their current health status
Identify gaps or barriers in treatment plans
Provide patient education to assist with self-management
Make referrals to outside sources
Provide a complete continuum of quality care through close communication with members via in-person in home or on-phone interaction
Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels