UnitedHealth Group Community Transitions RN Case Manager - Seattle, WA in Seattle, Washington

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)

As a Community Transitions Program Case Manager, you will have flexibility to work telephonically from home and may be requested to visit members while inpatient or in their home. Caseload assigned will vary depending on case type.

If you are located in Seattle, WA you will have the flexibility to work from home* as you take on some tough challenges.

Primary Responsibilities:

  • May work onsite at assigned hospital(s) during business hours Monday – Friday. Engage with the hospital care transition or discharge planning teams and the member / family or caregiver to prepare for transitions and assist in facilitating the discharge plan

  • May conduct home visits with members and their caregivers post-discharge

  • Make concerted effort to reach members post-discharge that are difficult to contact

  • Make initial post-discharge call within 1- 3 days to ensure that member receives the necessary services and resources

  • Identify gaps or barriers in treatment plans

  • Provide patient education on disease process and self-management

  • Interact with Medical Directors or member’s PCP in order to coordinate post-discharge care and services for members as necessary

  • Make referrals to available internal and external resources

  • Document and track findings in a variety of case management systems

  • Prioritize large volume of member activities

  • Adapt to regular process changes with program evolution

Required Qualifications:

  • Current, unrestricted RN license in state where role is located

  • 3+ years’ experience as an RN in a clinical setting

  • A background in case management in a community care or home care settings

  • Experience and intermediate skill level working with laptop with the ability to navigate a Windows environment

  • Must have a designated work space and access to install secure high speed Internet via cable in home

  • Access to reliable transportation and ability to travel to visit members in-home or a hospital location as a primary work site. *Financial assistance for relocation will not be provided

  • Ability to be credentialed at assigned hospital and meet all hospital occupational health requirements (drug screening, licensure and immunizations)

Preferred Qualifications:

  • Bachelor's Degree

  • Certified Case Manager (CCM)

  • Experience with discharge planning, transitional care services or resource coordination

  • Strong organizational skills and multitasking abilities will be keys to success

  • Bi-lingual in Spanish

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.

Keywords: RN, registered nurse, CCM, Case Manager, case management, Transitional Care, STARS, Hospital RN, Acute Care, Discharge Planning, Care Coordination, Community Transitions Program, Home care, Seattle, WA, Washington