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TRICARE RN Disease Case Manager - Phoenix, AZ

UnitedHealth Group

Phoenix, AZ
Job Code:
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Job Details

TRICARE RN Disease Case Manager - Phoenix, AZ(Job Number:708403)

This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nation stronger. Talk about meaningful work. What an important role. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality healthcare services for those who serve our nation. Make your last career change one of inspiration. Find out more about these opportunities to do your life's best work.(sm)   
We have an excellent opportunity available for you to bring your extensive experience and join our company as a Disease Management RN working in our Phoenix office. As a part of the DM team, you will be responsible for providing disease specific clinical case management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating.  
This position provides telephonic disease management and education in support of TRICARE beneficiaries identified primarily with Diabetes and also supporting other diseases, Asthma, COPD, and Heart Failure identified by the Department of Defense. 
***This is an office position located at 2222 W. Dunlap Ave. Phoenix, AZ ***
Primary Responsibilities:   
  • Making outbound calls to assess members' current health status 
  • Identifying gaps or barriers in treatment plans  
  • Providing patient education to assist with self management 
  • Interacting with Medical Directors on challenging cases 
  • Coordinating care for members 
  • Making referrals to outside sources 
  • Coordinating services as needed (home health, DME, etc.) 
  • Educating members on disease processes 
  • Encouraging members to make healthy lifestyle changes 
  • Documenting and tracking findings
  • Utilizing Milliman criteria to determine if patients are in the correct hospital setting
  • Making "welcome home" calls to ensure that discharged member receive the necessary services and resources

Job Case Management
Primary Location US-AZ-Phoenix
Other Location 
Organization M&V Disease Management
Schedule Full-time
Number of Openings 1
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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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