Healthy First Steps RN Case Manager - Jacksonville and surrounding areas, FL
About The Position
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an RN Maternity Case Manager, you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting 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. Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve. This is a work from home position with working with the Healthy First Steps Program. Employee must reside in the state of Florida within the Jacksonville, FL and surrounding areas. If you reside in the state of Florida, you will enjoy the flexibility to telecommute as you take on some tough challenges.
Requirements
- Current and unrestricted Registered Nurse license in state of Florida
- 3+ years of experience in a hospital setting, acute care, direct care experience within the OB and/or Maternity field
- 1+ years of experience working with MS Word, Teams, Excel and Outlook
- Reside in the Jacksonville metro area
Nice To Haves
- Bachelor's Degree
- Case management experience
- Background in managing populations with complex medical or behavioral needs
- Experience with electronic charting
- Bilingual - Spanish
- Experience with arranging community resources
- Field-based work experience
- Knowledge of Florida Community Maternal Child Resources this ties into the need for recent maternity or OB experience
Responsibilities
- Making outbound calls to assess members' current health status (potential for field visits as well)
- Take incoming calls from members
- Identifying gaps or barriers in treatment plans
- Providing patient education to assist with self-management
- Interacting with Medical Directors on challenging cases
- Coordinating care for members
- Making referrals to outside sources
- Coordinating services as needed (home health, DME, etc.)
- Educating members on disease processes
- Encouraging members to make healthy lifestyle changes
- Documenting and tracking findings
- Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources
Benefits
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
