Field RN Case Manager Mobile AL

UnitedHealth Group - Mobile, AL

Full-time - Entry Level

Onsite - Mobile, AL

Insurance Carriers and Related Activities

About the position

The Field RN Case Manager position at Optum Home & Community Care involves providing integrated care to patients primarily in their home settings. The role focuses on assessing health needs, developing care plans, and collaborating with a multidisciplinary team to ensure patients receive comprehensive support. This position requires significant travel within Mobile, Alabama, and emphasizes preventive care to help patients manage their health effectively.

Responsibilities

• Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
• Establish goals to meet identified health care needs
• Plan, implement and evaluate responses to the plan of care
• Work collaboratively with the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
• Consult with the patient's PCP, specialists, or other health care professionals as appropriate
• Assess patient needs for community resources and make appropriate referrals for service
• Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians
• Completely and accurately document in patient's electronic medical record
• Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
• Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
• Actively participate in organizational quality initiatives
• Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
• Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
• Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery.

Requirements

• Current unrestricted licensure as RN in state of practice
• 2+ years of relevant experience
• Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
• Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
• Proven solid computer skills, including use of Electronic Medical Records
• Proven effective time management and communication skills
• Willing or ability to travel up to 75% of the time for field based work; valid driver's license

Benefits

• $5,000 Sign on Bonus for External Candidates