Discharge Care Manager RN - Remote

$58,300 - $114,300/Yr

UnitedHealth Group - Atlantic City, NJ

Full-time - Mid Level

Remote - Atlantic City, NJ

Insurance Carriers and Related Activities

About the position

As a Discharge Care Manager RN at UnitedHealth Group, you will be responsible for implementing telephonic case management interventions for high-risk members. This role involves assessing member needs, coordinating discharge plans, and collaborating with clinical care teams to ensure a smooth transition from inpatient care to home or other care settings. The position offers the flexibility to work remotely while making a significant impact on health outcomes and advancing health equity.

Responsibilities

• Evaluate member discharge needs including delays in care and readmission prevention plan
• Collaborate with providers and members to coordinate care post discharge
• Participate in rounds with the Medical Director to discuss cases as needed
• Identify internal or community-based program support or resources
• Coordinate with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged
• Assist with coordination of difficult cases needing placement in an alternate level of care facility
• Document discharge activities as outlined in standard operating procedures and data entry strategies
• Participate in team meetings, education discussions and related activities
• Work collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams

Requirements

• Bachelor of Science in Nursing
• Current, unrestricted RN license in the State of residence
• 5+ years of recent experience in the inpatient acute setting
• 2+ years of experience of discharge planning
• Proficient in typing skills and software applications including Microsoft Word, Excel, PowerPoint, and Outlook
• Experience working with multiple health insurance products (Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements
• Have a designated work space and access to install secure high speed internet via cable/DSL in your home

Nice-to-haves

• Case Management Certification
• Compact RN License
• InterQual/MCG Guidelines or other nationally recognized practice guidelines
• Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance, and achieve targets
• Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
• Proven excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution