825302 RN Case Manager

Improve the lives of others while doing your life's best work.SM

My Saved Searches (0)

RN Case Manager (825302)

Position Description

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)


The Case Manager will manage the care of high risk members in the greater Nashville, TN and surrounding areas telephonically as well as in their homes or other community settings by completing health assessments, post hospital assessments, and coordinating patient care. The Case Manager will provide clinical and medical management services, including case management, care coordination, health assessments, interventions, and discharge planning. Work is generally fast paced, self-directed and not prescribed; this person will work from home when not completing face-to-face patient assessments.


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.


If you are located in the Middle, TN area, you will have the flexibility to telecommute* as you take on some tough challenges. This position is both a Field Based and Telephonic Case Management position (primarily telephonic) which may require travel throughout the greater Davidson County, Nashville, TN area.

Primary Responsibilities:
  • Engaging members telephonically and in person (in their homes or facilities) to coordinate services, community resources, and treatment needs
  • Functioning as an advocate for members and decreasing unnecessary hospitalizations and emergency room visits
  • Travel in assigned territory as needed to complete patient assessments
  • Delivering a holistic approach to coordinated care based on the enrollee needs
  • Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file
  • Creating, reviewing and revising care plans and focusing on disease management
  • Collaborating with the member's PCP to deliver and coordinate necessary services
  • Building relationships with members and their families; assisting them with proper health choices
  • Ensuring cases are documented in a timely manner 

Required Qualifications:

  • Current, unrestricted RN license in the state of Tennessee
  • 1+ years of home care/home health and/or other case management experience
  • 3+ years of clinical experience
  • Computer / typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
  • Must be able to complete CCM certification within 30 months of your hire date
Preferred Qualifications:
  • Certification in Case Management (CCM)
  • Bachelor's Degree or greater in Nursing
  • Medicaid experience
  • Medicare experience
  • Experience managing chronic and/or complex diseases
  • Experience working in a health plan or other managed care setting
  • Experience with community health and / or public health
  • Long term care experience
  • Experience working with electronic medical records (EMR) systems
  • 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

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, registered nurse, Medicaid, Medicare, Jackson, TN, Tennessee, CCM, certified case manager, home health, hospice, home care, case management, case manager, Optum, UnitedHealth Group, virtual, work from home, telecommute

  • Requisition Number825302
  • Job TitleRN Case Manager
  • Job FamilyNursing
  • Business SegmentOptum Consumer Solutions Group

Job Location Information

  • TN
    United States
    North America

Additional Job Detail Information

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