RN Utilization Case Manager – Home Health & Care Coordination

Registered Nurse; Milwaukee (WI); Hybrid; USD 60,000 - 107,000; Full time

Job summary

UnitedHealthcare is hiring a Utilization Case Manager to serve Milwaukee County with optional coverage in surrounding areas. The role blends office and remote work with about 25% field-based visits in the local community.

The position requires an RN licensed in Wisconsin, 2+ years of relevant experience, EMR proficiency, and reliable transportation for home visits. Travel up to 25% is expected, and the salary ranges from $60,200 to $107,400 annually.

Qualifications

• Active RN license in Wisconsin.
• 2+ years of hospital/acute care or home health case management experience.
• Proficient 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.
• Identify unmet needs and coordinate care for members.
• Document assessment details and apply state guidelines to service requests.
• Track findings and identify gaps in treatment plans.
• Provide patient education for self-management.
• Interact with Medical Directors on challenging cases.
• Coordinate services such as home health and DME.

Skills

2+ years healthcare experience

Travel to member homes

Microsoft Office basic

Education

RN license Wisconsin

Tools

EMR systems

Microsoft Office

Job description

UnitedHealthcare is hiring a Utilization Case Manager to serve Milwaukee County with optional coverage in surrounding areas. The role blends office and remote work with about 25% field-based visits in the local community.

The position requires an RN licensed in Wisconsin, 2+ years of relevant experience, EMR proficiency, and reliable transportation for home visits. Travel up to 25% is expected, and the salary ranges from $60,200 to $107,400 annually.