RN Case Manager - Essex, Union, Bergen, Hudson - New Jersey

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care.

The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable.

Ready to make a difference? Join us to start Caring. Connecting. Growing together.

We’re making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry forward.

As a Telephone Case Manager RN, you’ll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well.

Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!

If you are located within the New Jersey territory and willing to travel up to 50% of your time to assigned territory, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities :

• Make outbound calls to assess members' current health status
• Demonstrate an ability to deliver effective telephonic case management in a manner that promotes behavior change for the NJ
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• Interact with Medical Directors on challenging cases including presenting at rounds
• Coordinate care for members
• Make referrals to outside sources
• Coordinate services as needed (home health, DME, etc.)
• Educate members on disease processes
• Encourage members to make healthy lifestyle changes
• Document and track findings
• Make welcome home calls to ensure that discharged member receive the necessary services and resources

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 New Jersey
• 2+ years of RN experience in a hospital setting, acute care, direct care experience and / or experience as a Case Manager
• 1+ years of paid professional experience working directly with the elderly or physically disabled in an institutional or community setting
• 1+ years of experience in long-term care, home health, hospice, public health or assisted living
• Ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word and Excel
• Demonstrated ability to talk and type proficiently at the same time
• Access to reliable transportation and the ability to travel up to 50% within assigned territory to meet with employees, members, and providers

Preferred Qualifications :

• Bachelor's degree or greater
• Certified Case Manager (CCM)
• DSNP
• Experience working with populations with special needs
• Experience / exposure with discharge planning
• Experience in utilization review, concurrent review and / or risk management
• Experience with government health programs (Medicaid / Medicare)
• Case Management experience
• Background in managed care
• Bilingual - English / Spanish
• Proven solid organizational skills and multitasking abilities

New Jersey Residents Only : The hourly range for this role is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc.

In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and k contribution (all benefits are subject to eligibility requirements).

No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.