RN Case Manager: Care Coord & Transitions - Sign-On

Jobtome; Indian Springs (GA); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Stock purchase program

401(k) contribution

Job summary

UnitedHealth Group is seeking a RN-based care manager embedded in a primary care clinic to coordinate transitional care for patients, work with clinicians and non-clinical teams, and drive outcomes. Responsibilities include assessments, referrals, and interventions to reduce ER/hospital utilization.

The role emphasizes collaboration, communication, and adherence to quality metrics, with a focus on patient-centered care and seamless transitions between care settings.

Qualifications

• Valid NV RN License.
• Current BLS Certification or willingness to obtain within 3 months of hire.
• 2+ years of job-related experience in a healthcare environment (Hospital/Clinic/Practice).
• Knowledge of medical terminology; nursing assessment and follow up on patient's needs.
• Skilled with MS Office software applications and electronic medical records (EMR).
• Proven excellent communication, interpersonal, organization and customer service skills.
• Proven ability to multi-task and work under pressure.
• Demonstrated positive personality and willingness to effect change.

Responsibilities

• Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams providing transitional case management services.
• Performs assessment/screening of health conditions; Collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals.
• Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet department/organization metrics or goals.
• Supports transition of care from Emergency Department or inpatient stay to outpatient setting. Assist with referrals (home health/DME) and appointments (PCP/specialist).
• Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care

Skills

Communication skills

Multitasking

Medical terminology

EMR familiarity

MS Office

Patient care coordination

Team collaboration

Education

NV RN license

Bachelor's degree in nursing

Tools

EMR system

MS Office

Job description

UnitedHealth Group is seeking a RN-based care manager embedded in a primary care clinic to coordinate transitional care for patients, work with clinicians and non-clinical teams, and drive outcomes. Responsibilities include assessments, referrals, and interventions to reduce ER/hospital utilization.

The role emphasizes collaboration, communication, and adherence to quality metrics, with a focus on patient-centered care and seamless transitions between care settings.