RN Full-time
UnitedHealthcare

RN Care Manager- Field based in Forsyth County, NC

UnitedHealthcare Winston-Salem, NC 27101, US
$40 - $43 / hour
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In this Care Manager role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.

We offer our established staff the option to work 4 10-hour days (7 am-6pm) in lieu of the traditional eight hour five/day week schedule. *After employee has demonstrated competency with the role and are able to meet metrics, etc. Additionally, there is no “on-call” or weekend requirements.

If you are in Forsyth County North Carolina, you will have the flexibility to be field based as you take on some tough challenges. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities. You’ll need to be flexible, adaptable and, above all, patient in all types of situations.

Primary Responsibilities:

  • Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care
  • Identify and initiate referrals for both healthcare and community-based services; including but not limited to financial, psychosocial, community and state supportive services
  • Develop and implement care plan interventions throughout the continuum of care as a single point of contact
  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
  • Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team

Required Qualifications:

  • Current, unrestricted independent licensure as a Registered Nurse
  • 2+ years of clinical experience
  • 1+ years of experience with MS Office, including Word, Excel, and Outlook
  • Driver’s License and access to reliable transportation and the ability to travel up to 75% of the time within assigned territory to meet with members and providers
  • Reside in North Carolina
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

Preferred Qualifications:

  • BSN, Master's Degree or Higher in clinical field
  • CCM certification
  • 1+ years of community case management experience coordinating care for individuals with complex needs
  • Experience working in team-based care
  • Demonstrated background in Managed Care

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