Remote Discharge Care Manager, RN – Care Transitions Expert

UnitedHealth Group

Philadelphia (Philadelphia County)

Hybrid

USD 60,000 - 107,000

Full time

9 days ago

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Job summary

UnitedHealth Group is seeking a Discharge Care Manager in Pennsylvania to implement telephonic case management for high-risk members, coordinating discharge plans and following members in inpatient settings. The role requires a BSN, PA RN license, 5+ years in acute care and 2+ years in discharge planning, with proficiency in MS Office, and ability to work remotely per policy.

You will collaborate with providers, medical director, and care teams to ensure seamless post-discharge care and

Qualifications

  • Bachelor of Science in Nursing is required.
  • Current, unrestricted PA RN license.
  • 5+ years of experience in the acute inpatient hospital setting.
  • 2+ years of discharge planning or case management.
  • Experience with Medicaid/Medicare and insurance products.
  • Proficient in MS Word, Excel, PowerPoint and Outlook.

Responsibilities

  • Evaluation of member discharge needs including delays in care and readmission prevention.
  • Collaboration with providers and members to coordinate care post discharge.
  • Participate in rounds with the Medical Director to discuss cases as needed.
  • Identification of internal or community-based program support or resources.
  • Coordination with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged.
  • Assist with coordination of difficult cases needing placement in an alternate level of care facility.
  • Documentation of discharge activities as outlined in standard operating procedures and data entry strategies.
  • Participate in team meetings, education discussions and related activities.
  • Works collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams.

Skills

Case management
Discharge planning
Typing skills
MS Office

Education

Bachelor of Science in Nursing
PA RN license

Tools

Microsoft Word
Microsoft Excel
Microsoft PowerPoint
Microsoft Outlook

Job description

UnitedHealth Group is seeking a Discharge Care Manager in Pennsylvania to implement telephonic case management for high-risk members, coordinating discharge plans and following members in inpatient settings. The role requires a BSN, PA RN license, 5+ years in acute care and 2+ years in discharge planning, with proficiency in MS Office, and ability to work remotely per policy.

You will collaborate with providers, medical director, and care teams to ensure seamless post-discharge care and

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