23 days old

RN Case Manager - Framingham, MA

Framingham, MA 01702
  • Job Code
    853140

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)


This RN Case Manager functions as part of the primary care team, and reports to the Clinical Services Manager (CSM).  The RN performs activities that fall within the RN scope of practice.  This role works in close collaboration with all of the team members, and may support multiple providers. The RN works under the direction of the provider, and activities are delegated to the RN by the provider or the team CSM. The RN understands and supports the clinical models of care for the Institutional Senior Care Options Plan (SCO)  and Transitions to Skilled (TTS), and works in collaboration with the team to meet the goals of the program. RN may be required to provide on-site clinical support to patients or facilities.


If you are located in the Framingham, MA area, you will have the flexibility to telecommute* as you take on some exciting challenges.


Primary Responsibilities:

  • Care Coordination
  • Benefit Determination
  • Therapy Coordination
  • Team Support
  • In-servicing
  • Clinical Documentation
  • Advanced Care Planning
  • Communication
  • Support of contracted providers
  • Quality/HEDIS
  • Patient Care

Expect to spend about 50% of your time in the field visiting our members in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations.  Occasional participation in weekend rounds.

 

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.

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Posted: 2019-11-12 Expires: 2019-12-12

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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RN Case Manager - Framingham, MA

UnitedHealth Group
Framingham, MA 01702

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