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Medi - Cal RN Case Manager – Telecommute in San Diego, CA

UnitedHealth Group


Location:
San Diego, CA
Date:
05/23/2017
Job Code:
1749584
Apply on the Company Site
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Job Details


Medi - Cal RN Case Manager – Telecommute in San Diego, CA(Job Number:715114)
Description

There’s energy and excitement here, a shared mission to improve the lives of others as well as our own. A passion for excellence you won't find anywhere else. We ask tough questions. We push ourselves and each other to find smarter solutions. The result is a culture of performance that’s driving the health care industry forward. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work.(sm)
 
As a Case Management RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need.

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
 
View the Realistic Job Preview to learn more aspects of this job.  Click here: http://uhg.hr/Telephonic_Case_Manager_UHCCS
 
***This is a work at home opportunity, but you must reside within the San Diego County service area and be an California resident***
 
Primary Responsibilities:
  • Make outbound calls to assess members' current health status
  • 25% of the time you may be doing field work - you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting members with safe, effective transitions from care environments to where they live. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more.
  • Identify gaps or barriers in treatment plans
  • Provide patient education to assist with self-management
  • Interact with Medical Directors on challenging cases
  • Coordinate care for members
  • Make referrals to outside sources
  • Coordinate services as needed (home health, DME, etc.)
  • Educate members on disease processes
  • Encourage members to make healthy lifestyle changes
  • Document and track findings
  • Utilize MCG criteria to determine if patients are in the correct hospital setting
  • Make “welcome home” calls to ensure that discharged member receive the necessary services and resources
  • Possible hospital visits with members

Job Case Management
Primary Location US-CA-San Diego
Other Location 
Organization Optum Ops-PHM Medicaid
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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