The
RN Case Manager is a
field based role to support the public sector population in the state of NY. This position would be working with ages from birth to geriatric in the home and community setting providing holistic case management services to members who are receiving or may be in need of medical daycare services or personal care assistant services. This role includes traveling into member homes and medical daycare settings to conduct in depth assessments and set up plan of care.
****To be eligible for this position, you must have previous experience in the field as a RN****
Apply for this position with your eyes wide open. Click here to view the Realistic Job Preview: UHC Community & State Field_Based_Case_Manager.pdf
Primary responsibilities include:
- Conduct face to face and telephonic member needs assessments according to state and national guidelines, policies, procedures, and protocols
- Assess the patient's current medical and social circumstances to identify any gaps or barriers that would impact compliance with the prescribed treatment plan
- Engage patient, family, caregivers, and healthcare providers to assure that a well-coordinated treatment plan is established
- Prioritize care needs, set goals and develop a treatment plan (or plan of care) that also addresses gaps and/or barriers to care and uses evidence-based practice as the foundation
- Track the patient's health status and progress in achieving clinical and personal goals
- Provide education, information, direction, and support related to care goals of patients
- Coordinate acquisition and proper use of medical equipment, initially and on an ongoing basis
- Communicate with patients, families, caregivers, physicians, and other service providers to coordinate the care needs for the patient
- Collaborate with the attending physicians and Medical Director to revise treatment plans as needed
- Document assessments, interventions, and follow-up on disease management activities
- Regularly assess the effectiveness and quality of services provided to patients by analyzing outcomes (clinical, functional, and financial)
UnitedHealthcare Community & State is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
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