Responsibilities for Case Managers include:
-Making outbound calls to assess members' current health status
-Triage
-Processing of physicians orders
-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)
-Documenting and tracking findings
-answering questions from the various health plan
Positions in this function require various nurse licensure and certification based on role and grade level. Licensure includes RN and LPN/LVN, depending on grade level, with current unrestricted licensure in applicable state. These roles identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members. Includes Health Coach, Health Educator, and Health Advocate roles that require an RN. Collaborate with various service providers, family members, RNs and other interested parties in the care for the consumer
What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
This is an office position
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