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 TRICARE Oncology RN Nurse Case Manager - Phoenix, Arizona, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: May consider sponsorship for work authorization for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Nursing - Case Management
Nursing - Clinic RN
 
Travel: Unspecified 
Accept candidates: from anywhere 
Languages: English - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 518421 / Latpro-2471397 
Date posted: May-03-2013
State, Zip: Arizona, 85006

Description

As a RN Oncology Case Manager, you will be responsible for performing case management activities across the care continuum independently and with other members of the health care team (BHCM, MSW, etc.) to ensure quality, cost effective outcomes and minimize fragmentation of health care delivery. In addition, this role will also be responsible for leading a collaborative, integrated (medical and behavioral health) process of assessment, planning, facilitation, and advocacy to meet the beneficiary’s individual health care needs. Our mission is to help people live their lives to the fullest.  Our values are Integrity, Compassion, Relationships, Innovation, and Performance.
 
Primary responsibilities:
  • Document all clinical information in accordance with UnitedHealthcare Military & Veterans policies and procedures in the member's electronic medical record
  • Assess and interprets beneficiary needs, gaps, and requirements
  • Leads efforts to provide specialized CM services to members identified with very complex conditions or diseases requiring intensive and extensive coordination of resources including accessing centers of excellence with specialty hospitals, multiple specialists and sub-specialists, DME, home care and therapy providers
  • Works with minimal guidance, seeks guidance on only the most complex tasks
  • Translates concepts into practice
  • Provides explanations and information to others on difficult issues
  • Coaches, provides feedback, and guides others
  • Collaborates with specialists, physicians, and medical directors to provide the necessary care and cost efficient care for the beneficiary
  • Assesses the effectiveness and quality of services provided related to clinical, functional, and financial impact and outcomes
  • Coordinating services as needed (home health, DME, etc.)
  • Educating members on disease processes
  • Assist with projects and/or assignments designated by the Team Leader, Supervisor or Manager
  • Adhere to the timeframes surrounding contractual terms as related to obtaining clinical information, communication with providers and internal disciplines
  • Refer all cases that fall outside of standard criteria to the Medical Director for review, per UnitedHealthcare Military & Veterans policy and procedure
  • Adheres to ethical, legal/regulatory and accreditation standards




Requirements

  • Current, unrestricted RN license in state of residence
  • 3+ years of oncology experience as an RN
  • Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
  • United States Citizenship
  • Ability to obtain favorable adjudication following submission of Department of Defense form SF86 NAC form SF86. 
Additional Preferred Assets:
  • Bachelor’s Degree in Nursing
  • Experience working in case management
  • ONC certification
  • Case Management Certification (CCM), ability to obtain within 18 months
  • Strong organizational skills and ability to multi-task 
As a requirement of UnitedHealth Group’s contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 http://www.opm.gov/forms/pdf_fill/sf86.pdf , (the National Agency Check or “NACâ€).  Successful completion of the NAC process is a requirement for continued employment in this role.  NAC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense.  Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received.  Failure to obtain final NAC approval will result in termination from this role. 
 
Careers at UnitedHealthcare Military & Veterans. When it comes to their health care, the men and women who help keep the peace deserve the greatest peace of mind. That’s why UnitedHealthcare is the organization that’s called on to serve them and their loved ones. We’re all about finding better ways to help improve their lives no matter where life may take them. So our career opportunities take challenge to a higher level. If you have a commitment to quality that mirrors our commitment to the men and women of the armed forces, take time to learn more about the career paths available here. It’s a genuine opportunity to do your life’s best work.
 
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 
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.

 

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