Join Today: Clinical Case Manager - Telecommute
Quick Overview:Location: RemoteStart Date: Immediate openings availableCompany: WorkwarpCompensation: a competitive salaryPosition: Clinical Case Manager - Telecommute  Primary Responsibilities:
 Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams
 Participates in the identification of a focused clinic patient panel, as defined by the manager of Medical Management
 Supports longitudinal care of the patient with chronic care conditions:
 Communicates with patients, responding to patient questions via patient portal and other modalities
 Performs assessment of health conditions and implements care plan in collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals
 Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization
 Performs medication reconciliation and collaborates with clinician partner as needed
 Conducts Motivational Interviewing and Self-Management Goal setting
 Provides patient education
 Creates referrals to appropriate agencies and resources
 Supports transition of care from Emergency Department or inpatient stay to outpatient setting:
 Performs assessment of transitional needs
 Performs medication reconciliation
 Establishes and reviews contingency plan
 Provides patient education
 Assists with post discharge needs such as home health care, prescriptions, transportation, Durable Medical Equipment (DME), appointments
 Coordinates with providers to establish or update individualized plan of care
 Creates referrals to appropriate internal and external resources
 Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care
 Performs accurate and timely documentation in the electronic medical record
 Performs triage and clinical tasks within their scope of practice
 Participates in daily huddles and monthly clinic meetings, as required
 Prepares accurate and timely reports, as required
 Maintains continued competence in nursing practice and knowledge of current evidence-based practices
 Performs ongoing updates of the care plan to evaluate effectiveness, and to document interventions and goal achievement
 Maintains a working knowledge of community resources
 Serves as facilitator and resource for other members of the Medical Group clinical team
 Attends departmental meetings and provides constructive recommendations for process improvement
 Performs other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction 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 degree in nursing
 Valid NM RN License or valid multi-state compact license
 Current BLS Certification
 Must be 21 years or older and have a valid NM State Driver's license
 3+ years of previous job-related experience in a healthcare environment
 Knowledge of medical terminology
 Skilled with MS Office software applications
 Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Apply Job! Your Future Starts HereDon't miss out on this exciting role. We are looking forward to hearing from you. Apply now!
Apply Now
 Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams
 Participates in the identification of a focused clinic patient panel, as defined by the manager of Medical Management
 Supports longitudinal care of the patient with chronic care conditions:
 Communicates with patients, responding to patient questions via patient portal and other modalities
 Performs assessment of health conditions and implements care plan in collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals
 Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization
 Performs medication reconciliation and collaborates with clinician partner as needed
 Conducts Motivational Interviewing and Self-Management Goal setting
 Provides patient education
 Creates referrals to appropriate agencies and resources
 Supports transition of care from Emergency Department or inpatient stay to outpatient setting:
 Performs assessment of transitional needs
 Performs medication reconciliation
 Establishes and reviews contingency plan
 Provides patient education
 Assists with post discharge needs such as home health care, prescriptions, transportation, Durable Medical Equipment (DME), appointments
 Coordinates with providers to establish or update individualized plan of care
 Creates referrals to appropriate internal and external resources
 Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care
 Performs accurate and timely documentation in the electronic medical record
 Performs triage and clinical tasks within their scope of practice
 Participates in daily huddles and monthly clinic meetings, as required
 Prepares accurate and timely reports, as required
 Maintains continued competence in nursing practice and knowledge of current evidence-based practices
 Performs ongoing updates of the care plan to evaluate effectiveness, and to document interventions and goal achievement
 Maintains a working knowledge of community resources
 Serves as facilitator and resource for other members of the Medical Group clinical team
 Attends departmental meetings and provides constructive recommendations for process improvement
 Performs other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction 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 degree in nursing
 Valid NM RN License or valid multi-state compact license
 Current BLS Certification
 Must be 21 years or older and have a valid NM State Driver's license
 3+ years of previous job-related experience in a healthcare environment
 Knowledge of medical terminology
 Skilled with MS Office software applications
 Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Apply Job! Your Future Starts HereDon't miss out on this exciting role. We are looking forward to hearing from you. Apply now!
Apply Now