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Community Transitions RN Case Manager - Rochester, NY (750357)

Position Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)


As a Community Transitions Program Case Manager, you will have the best of both worlds.  You have flexibility to work from home as well as provide member care in a direct care setting. This role will require visits to Rochester General Hospital, Rochester, NY multiple times per week.


Primary Responsibilities:

  • Visit members in the hospital to engage in post hospital program
  • Make concerted effort to find members post hospital that are difficult to reach
  • Make initial post hospital call within 3 days of discharge to ensure that discharged member receive the necessary services and resources
  • Identify gaps or barriers in treatment plans
  • Provide patient education to assist with self-management
  • Interact with Medical Directors or member’s PCP on challenging cases
  • Coordinate care and services for members
  • Make referrals to outside sources
  • Educate members on disease processes
  • Encourage members to make healthy lifestyle changes
  • Document and tracking findings
  • Prioritize large volume of member activities
  • Adapt to regular process changes as new program evolves
  • Strong organizational skills and multitasking abilities will be keys to success

Required Qualifications:

  • Current, unrestricted RN license in New York
  • 5+ years’ experience as an RN in a clinical setting 
  • Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
  • Internet access
  • Must have a designated work space and access to install secure high speed Internet via cable / DSL in home
  • Access to reliable transportation and ability to travel to visit members within Rochester, NY. *Financial assistance for relocation will not be provided

Preferred Qualifications:

  • Bachelor's Degree
  • A background in community care or home care
  • Case Management experience
  • Certified Case Manager (CCM)
  • Experience with discharge planning or transitional care services

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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, registered nurse, CCM, Case Manager, case management, Transitional Care, STARS, Hospital RN, Acute Care, Discharge Planning, UnitedHealth Group, UHG, UnitedHealthcare, UHC, “Community Transitions Program”, Rochester, NY, New York,  Home Health, Complex Care, Case Management, Chronic Disease Management, Medicare

Job Details

  • Contest Number750357
  • Job TitleCommunity Transitions RN Case Manager - Rochester, NY
  • Job FamilyNursing
  • Business SegmentUHC Clinical Services

Job Location Information

  • Rochester, NY
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusExempt