Case Manager RN – Hybrid in Waukesha, WI

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.   

The Case Manager RN is responsible and accountable for making follow up appointments for hospitalized patients and communication with providers, nursing, and access center. Patients will be assessed to determine appropriateness of needed follow up appointments per protocol. Case Managers facilitate timely care delivery at the right time, in the right setting, by following CMS guidelines, escalation of operational barriers, and collaboration with all stakeholders. Quality and Risk Management issues will also be monitored and reported as appropriate.

Location: Hybrid – 725 American Ave, Waukesha WI 53066

Schedule: Monday – Friday stating between 8 AM – 4:30 PM CST (can be flexible)

If you reside near Waukesha, WI, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges. 

Primary Responsibilities:

• Effectively problem-solves and actively pursues resolution
• Directly communicates with staff, physicians, patients and families
• Role models leadership behavior through courtesy, respect and efficiency
• Coordinates patient care processes to achieve desired quality outcomes and identifies/controls inappropriate resource utilization
• Facilitates patient and family education and promotes continuity of care to achieve optimal patient outcomes
• Functions without direct supervision, utilizing time constructively and organizing assignments for maximum productivity
• Ability to effectively read, write, and speak, cognitively process and emotionally support performing other duties as assigned
• Basic Microsoft Office Skills
• All employees are expected to remain flexible to meet the needs of the hospital, which may include floating to other departments to assist as patient needs fluctuate
• The CM will be responsible for integrating the assessment of the need for post-hospital services and follow-up appointments
• Educates patient/family as to options/choices within the level of care determined to be appropriate. Initiates and ensures completion of all necessary paperwork
• Knowledge of all applicable federal and state regulations
• Adheres to the name badge/dress code compliance

What are the reasons to consider working for UnitedHealth Group?  Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Associate’s Degree (or higher) in Nursing
• Current and unrestricted RN license in the state of Wisconsin
• 1+ years of experience with knowledge of community resources, policies, and procedures
• 1+ years of clinical experience with knowledge of age groups, including but not limited to the unborn child through geriatric age group 

Preferred Qualifications:

• Bachelor of Science
• 2+ years of case management experience
• Case Management Certification
• Must have strong analytical, critical thinking and organizational skills  

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. 

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

 

 

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