Hybrid RN Utilization Case Manager (Milwaukee)

Texas Health Institute; Milwaukee (WI); Hybrid; USD 60,000 - 107,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a Utilization Case Manager in the Milwaukee, WI area. The role offers hybrid work with field-based visits in the local community approximately 25% of the time.

Responsibilities include assessing members, conducting home visits, coordinating services, and educating patients. Requires Wisconsin RN license and 2+ years of relevant experience, with travel up to 25%.

Qualifications

• Wisconsin RN license required (unrestricted).
• 2+ years in hospital/acute care or Home Health Case Manager experience.
• Basic proficiency with Microsoft Office and EMR systems.

Responsibilities

• Make outbound calls to assess members' health status.
• Conduct face-to-face assessments in the member's home.
• Document assessment details and apply state guidelines to service requests.
• Coordinate care and referrals; track findings and gaps in treatment plans.
• Educate members on disease processes and self-management.
• Interact with Medical Directors on challenging cases.
• Travel to member homes as needed (~25%).

Skills

Microsoft Office

Education

Wisconsin RN license (unrestricted)

Job description

UnitedHealth Group is seeking a Utilization Case Manager in the Milwaukee, WI area. The role offers hybrid work with field-based visits in the local community approximately 25% of the time.

Responsibilities include assessing members, conducting home visits, coordinating services, and educating patients. Requires Wisconsin RN license and 2+ years of relevant experience, with travel up to 25%.