13 days old

RN Complex Case Manager - Farmington, CT

Farmington, CT 06032
  • Job Code

Do you have compassion and a passion to help others?  Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

ProHealth Physicians, part of OptumCare


If you want to get way ahead in your career, it makes sense to be with an organization's that's way ahead of the curve. Formed in 1997, ProHealth Physicians has grown to become Connecticut's leading primary care physician organization. With over 90 locations throughout the state of Connecticut, our family of primary care doctors and specialists care for more than 360,000 people statewide. In fact, ProHealth serves every county and provides roughly ten percent of the primary care delivered to patients in the state. We're leaders in thinking and in serving our communities.  For instance, we're a C.M.S. approved Accountable Care Organization (ACO), covering over 30,000 Medicare patients associated with our community-based primary care providers. We're also nationally recognized as a NCQA Level III Medical Home. That kind of progressive leadership makes us perfect fit for OptumCare and UnitedHealth Group's expanding family of providers. This is a place where you can stay way ahead as you do your life's best work.(sm)


ProHealth Physicians (OptumCare Co) has an immediate opening for an RN Complex Case Manager. Under general administrative direction, coordinate referrals from physicians and health care facilities for Members; provides a significant level of Member education related to their illness and planned treatment.  

Primary Responsibilities:
  • Member Care Coordination.  Works closely with physicians involved in member's plan of care to coordinate care plan communication; works with multidisciplinary team to maintain and implement up-to-date coordinated care plan; communicates with all members of the healthcare team on behalf of the Member
  • Member Referral Support:  Assists physician providers, Members and their families in obtaining referrals to needed specialists.  Provides support and counseling, as appropriate to the clinical situation
  • Care Plan Development.  Works with designated physicians to develop and maintain Member Care Plans
  • Clinical Improvement.  Proactively participates in the development and deployment of Coordination of Care activities with the goal of improving the clinical experience for referred Members and the referring physician.
  • Liaison.  Communicates with members of the Care Team as appropriate to coordinate the identified Member and physician's needs
  • Provider/Member Education.  Educate Member and care team participants on community/health plan benefit services available.
  • As Needed.  Performs various duties as needed to successfully fulfill the function of the position in conjunction with Medical Management

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.



Posted: 2020-06-29 Expires: 2020-07-29

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 Complex Case Manager - Farmington, CT

UnitedHealth Group
Farmington, CT 06032

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