Care Manager, RN - Multiple openings

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.Evercare offers a variety of services to help people in all phases of long-term care remain self-sufficient and independent for as long as possible. The company is part of Ovations, a family of UnitedHealth Group businesses dedicated to improving the health and well-being of Americans ages 50 and older. Here is a rewarding work from home position, ideal for a skilled RN capable of performing telephonic assessments and home visits to Medicare/Medicaid members. Our members will be in all different stages of healthcare and a self motivated RN is needed to work along side the patients' entire support team (physicians, family members, etc). Enjoy competitive benefits, growth potential and the chance to apply your talents to the following responsibilities:  Taking calls from members, vendors and home health providers Obtaining resources and authorizations for members Providing telephonic assessments to determine what services are needed after a hospitalization Educating patients over the phone (regarding care) and making referrals for services Using internal database to document status Attending meetings on updated policies and tools Handling home visits for an assigned caseload Arranging member care (including treatment plans, monitoring their care, etc.) Aiding members with the navigation of the Medicare and Medicaid complex care system of Medicare and MedicaidThe chosen RN must possess: A current, unrestricted RN license in their state of residence Clinical experience A home healthcare background Medicare and Medicaid knowledgePreferred experience:  Bilingual skills in Spanish, Vietnamese or Chinese A stable work history Telephonic nursing experience A long term care historyUnitedHealth Group offers a full range of comprehensive benefits to full-time and part-time employees, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.