RN Care Manager - Field Based in Cumberland, Hoke, Scotland County - NC - No weekends or on-call
UnitedHealth Group
- Raeford, NC
- Permanent
- Full-time
- Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care
- Identify and initiate referrals for both healthcare and community based services; including but not limited to financial, psychosocial, community and state supportive services
- Develop and implement care plan interventions throughout the continuum of care as a single point of contact
- Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
- Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team
- Unrestricted RN license in the state of North Carolina
- Resident of NC
- 4+ years of experience working within the community health setting or 2+ years of experience providing community-based care management to members receiving long-term care, personal care services, private duty nursing, or home health
- Intermediate level of proficiency with Microsoft Office Suite
- Willing or ability to travel, up to 50% of your time, in Cumberland, Hoke, Scotland County, NC, to visit Medicaid members in their homes and/or other settings, including community centers or providers' offices
- Bachelor of Science in Nursing (BSN)
- CCM certification
- Experience in managing populations with complex medical or behavioral needs
- Experience working with Home Care Based Services
- Experience working with members in community and home-based settings
- Fluent in Spanish