Medicaid RN Case Manager - Conroe, TX

UHG Conroe, TX

About the Job

Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm)
What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere
This position will require active and unrestricted Nursing licensure in multiple US States.  Selected candidate must be willing and able to obtain and maintain multiple state licensure.  (Application fees and filing costs paid by UHG)
If you are located in Conroe, TX, you will have the flexibility to telecommute* as you take on some tough challenges.
*** Telecommuter position with some ride-alongs for audits. Travel will be up to 20% within the Montgomery County, TX area. ***
Primary Responsibilities:     
  • Provide a complete continuum of quality care through close communication with members via on-phone interaction
  • Support members with condition education, medication reviews and connection to resources  
  • Assist members with the transition from a care facility back to their home
  • Work with members who were hospitalized and are at risk for re-admission
  • Conduct post-hospitalization assessments telephonically
  • Identify member needs and formulate plans of care

Required Qualifications:     
  • 3+ years of clinical RN experience in acute care or home health OR case management experience
  • Multiple state license (in addition to Compact License if applicable) or ability to obtain multiple state nursing license
  • RN license in the state of Texas
  • Willing to do up to 20% travel in the Montgomery County market
  • Willingness and ability to obtain CCM within 30 months of hire
  • Ability to talk and type simultaneously 
  • Computer/typing proficiency with Word, Outlook, Excel, and Internet
Preferred Qualifications:     
  • CCM
  • Bilingual (Spanish)
  • Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action 
  • Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
  • Medicaid and/or managed care experience
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.
Job Keywords: RN, acute care, Montgomery County, TX, Texas, CCM, case management, case manager, telecommute