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 Registered Nurse Case Manager - EL PASO, Texas, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Nursing - Case Management
Nursing - Clinic RN
Nursing - Other
Nursing - Staff RN
 
Travel: Minimal 
Accept candidates: from anywhere 
Languages: English - Fluent
Spanish - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 863692 / Latpro-3728714 
Date posted: Jan-31-2020
State, Zip: Texas, 79901

Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

If you are located in El Paso ,Texas, you will have the flexibility to telecommute* as you take on some tough challenges.


Primary Responsibilities:

  • Services include comprehensive assessment, development of individualized services plans, care coordination and planning and ongoing support for Medicare and Medicaid members
  • Collaboration and facilitation with other interdisciplinary care team members
  • Meet established performance and compliance metrics
  • Attends regular meetings with managers/staff to address issues and concerns
  • Attends and actively participates in on-site meetings with our client partner developing strong rapport and relationships with day to day contacts
  • Collaborate cross-functionally to meet goals and objectives to meet business goals and client expectations
  • Ensure compliance with State and Federal regulations, contract requirements, URAC and NCQA standards and company policies and procedures

Successful candidate will interact with multiple stakeholders within our company, our client partner, as well as possible state regulators and community-based providers. Candidate should be comfortable with and have experience with public speaking. Candidate should have experience working with diverse groups of stakeholders, consumers and state/federal regulator

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

Required Qualifications:

  • BSN with active, unrestricted Texas license residing in the El Paso, TX area
  • Bi-lingual English and Spanish speaking required
  • Minimum of 3 years experience as a Registered Nurse
  • Medicare/Medicaid experience
  • The role is telecommute, but will be expected to attend meetings at El Paso Health Plan office and will travel to members in El Paso as needed to attend in-person assessments
Preferred Qualifications:  
  • A background in managed care
  • Case management experience
  • Certified Case Manager (CCM)
  • Experience or exposure to discharge planning
  • Experience in utilization review, concurrent review or risk management
  • Previous experience in a telephonic role

 

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM


Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.



Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

 

 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

 

 

 Keywords: Case Manager, Texas, TX, El Paso, Medicaid, Medicare, DSNP, Registered Nurse, RN, Nurse, telecommute, case management, CCM, BSN, Spanish, bilingual, utilization management, care coordination, Stars





 


 

 

 

 

 

 


 

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