Disease Management Case Manager RN Maryland Heights MO (510416)
UnitedHealth Group - Maryland Heights, MO

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This is an office based opportunity at our Maryland Heights, Mo location

As a Heart Failure Disease Management Case Manager RN with OptumHealth, you will assist our members in managing their health through ongoing communication, education and care coordination.

Major Duties and Responsibilities:
Make outbound calls to assess members' current health status

Use clinical and critical thinking skills daily to track and determine members' plan of care based on biometric screening data

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 as needed

Educate members on disease processes

Encourage members to make healthy lifestyle changes

Document and track findings

Utilize evidence based medicine criteria to determine if patients are in the correct hospital setting

Work Schedule- Mon- Fri; dayshift

Requirements

Minimum Qualifications:
Current, unrestricted RN license in the State of residence

3+ years of hands on clinical experience

Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment

Willingness to acquire CCM within 2 years of employment

Additional Desired Qualifications:
Bachelor's Degree or Higher in Nursing

Managed Care experience

Case Management and/or Disease Management experience

DM nurse with Cardiac disease or Heart Failure clinical background

Certified Case Manager (CCM)

Experience/exposure with discharge planning

Experience in utilization review, concurrent review and/or risk management

Strong organizational skills and multitasking abilities

OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

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