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Field Case Manager RN - Elizabeth City, NC

Optum
United States, North Carolina, Elizabeth City
Dec 24, 2024

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

Location: Field based position throughout the Elizabeth City, NC area

Work Schedule: Monday through Friday 8:00 a.m. - 5:00 p.m. EST Hours may vary based on business needs

Primary Responsibilities:



  • Visit members in their homes to assess their current health status
  • Identify gaps or barriers in treatment plans
  • Provide patient education to assist with self-management
  • Make referrals to outside sources
  • Provide a complete continuum of quality care through close communication with members via in-person in home or on-phone interaction
  • Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels



This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:



  • Current, unrestricted RN license in the state of North Carolina
  • Certified in Basic Life Support
  • 1+ years of clinical experience
  • Reside in or near Elizabeth City, NC
  • Access to reliable transportation



Preferred Qualifications:



  • BSN
  • Certified Case Manager (CCM)
  • Case management experience
  • Experience in discharge planning
  • Experience in utilization review, concurrent review or risk management
  • Experience in a telephonic role
  • Background in managed care
  • Experience in home care/home visits
  • Experience working with MS Word, Excel and Outlook
  • Bilingual in English/Spanish



At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.

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