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CRS Telephonic RN Case Manager - Phoenix, AZ

UnitedHealth Group

Phoenix, AZ
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Job Details

749416 CRS Telephonic RN Case Manager Phoenix AZ

CRS Telephonic RN Case Manager - Phoenix, AZ (749416)

Position 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)   
Children’s Rehabilitative Services (CRS) is an Arizona Medicaid program that provides integrated care to members with CRS-qualifying conditions.  Services include specialty care, primary care and behavioral health care. CRS members are able to receive care in the community or in multispecialty interdisciplinary clinics (MSICs) across the state.   
We have an excellent opportunity available for you to bring your extensive experience and join our company as a Telephonic RN Case Manager, working in our Phoenix office. As a part of the team, you will be responsible for providing specific clinical, complex case management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. This position provides telephonic case management and education in support of beneficiaries and their families, who range in age to infants to older adults, and for our Developmental Disabled (DD) members. Members in your care have been identified with special health care needs both medically and behaviorally.
Primary Responsibilities:   
  • Educating and supporting the individual through telephonic assessment and expert clinical case management interventions
  • Assess and interprets beneficiary needs, gaps and requirements related to his / her condition
  • Create care plans / addressing gaps or barriers in care
  • Providing patient education to assist with self-management
  • Interacting with Medical Directors and community partners on challenging cases
  • Coordinating integrated care for members
  • Making referrals to providers and community resources
  • Encouraging members to make healthy lifestyle changes
  • Documenting and tracking findings

This is an office based position located at 1 East Washington St, Phoenix, Arizona.

Required Qualifications:   

  • Current licensure as an RN in the State of Arizona
  • 2+ years Behavioral Health experience
  • 2+ years Medicaid, managed care or health plan experience
  • A working knowledge of a special needs population
  • Intermediate experience with Microsoft Word, including Excel, with the ability to navigate a Windows environment

Preferred Qualifications:   

  • Experience with provider services, billing and enrollment, member services, and claim processes and procedures
  • Clinical pediatric experience
  • Mental health / behavioral health experience; working with Arizona’s Regional Behavioral Health Authorities (RBHA)

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

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.



Job Keywords: RN, Registered Nurse, Case Manager, Behavioral Health, Mental Health, special needs, RBHA, Medicaid, Managed Care, Phoenix, Arizona, AZ

Job Details

  • Contest Number749416
  • Job TitleCRS Telephonic RN Case Manager - Phoenix, AZ
  • Job FamilyNursing
  • Business SegmentCommunity and State

Job Location Information

  • Phoenix, AZ
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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