Home
/
Account Management
/
Nurse Case Manager RN - High Point NC
Nurse Case Manager RN - High Point NC-March 2024
High Point
Mar 29, 2026
ABOUT UNITEDHEALTH GROUP
With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.
10,000+ employees
Healthcare
VIEW COMPANY PROFILE >>
About Nurse Case Manager RN - High Point NC

  $2,500 Sign-On Bonus for External Candidates

  Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

  As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.

  We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

  As a Long-term Care Optum Registered Nurse you will function as part of the primary care team, and report to the Clinical Services Manager (CSM). This role works in close collaboration with all of the interdisciplinary team members and may support multiple providers. This role requires face to face interaction with members in nursing home facilities. The RN Case Manager is a flexible team member who works under the direction of the Advanced Practice Clinician (APC) and activities are delegated to the Senior Case Manager by the APC or the team Clinical Services Manager (CSM).

  Schedule: Monday - Friday, 8AM - 5PM; No Nights, Weekends, Holidays or On Call

  Location: Onsite 100% of time at LTC / Nursing Facilities in greater High Point, NC (Guilford County) area

  Primary Responsibilities:

  Assist the provider/team with various care coordination activities in the nursing home Assist the provider/team with benefit determination associated with Medicare part A, part B, and part D benefits Collaborating with the primary APC and nursing facility to identify and respond to patient Change in Condition May assist the provider by completing DSTs, re - assessing the patient, and other activities as delegated by the provider or the CSM Assist the provider/team with therapy coordination for members including possible assessments or follow up on requests and communicate and collaborate with APC May perform interval check in on patient progress with therapy department May participate in facility-based therapy discussion meetings Schedule and participate in family conferences, team meetings, and team case presentations May assist in the coordination of training, tracking and compliance with quality measures Participate in facility partnership or Customer Relationship Management (CRM) meetings under the direction of the APC / CSM May assist in coordinating CRM meetings, and may participate in and contribute to the meetings May assist the team in tracking LearnSource completion for the team members and CSM Assist in creating and conduct in - services for selected audiences Will document information and activities in the EMR May assist Providers in assuring complete and accurate documentation and coding, medication reconciliation, nursing rounds, assessment, and patient documentation. Assist the team/providers in prioritizing advance Care Planning and initiating discussions Collaborates with all key stakeholders, providers, nursing homes, PCPs, families, interdisciplinary care teams and any other identified stakeholders Review the chart and enter HEDIS / Quality information into the EMR, communicate gaps to the Provider May write verbal orders from Provider in the chart in compliance with the state RN practice laws, and in compliance with individual nursing facility practices

  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.

  Years of post-high school education can be substituted/is equivalent to years of experience

  Required Qualification:

  Current, unrestricted RN license in the state of North Carolina 1+ years of experience with using an Electronic Medical Record Valid Driver's License with access to reliable transportation Ability to be in greater High Point, NC / Guilford County area going into facilities 100% of the time

  Preferred Qualifications:

  1+ years of experience in post - acute care, such as long-term care or critical care 1+ years of experience working with the geriatric population Proven ability to work with diverse care teams in a variety of settings Proven effective Communication skills and time management

  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

  Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

  UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Senior Change Management & Communications Specialist
Discover. A brighter future. With us, you'll do meaningful work from Day 1. Our collaborative culture is built on three core behaviors: We Play to Win, We Get Better Every Day & We Succeed Togeth
Manager, Field Account Management
Who we are At CarGurus (NASDAQ: CARG), our mission is to give people the power to reach their destination. We started as a small team of developers determined to bring trust and transparency to car s
Sales Closer
Do you ever wonder what happens inside the cloud? DigitalOcean (NYSE: DOCN) simplifies cloud computing so builders can spend more time creating software that changes the world. With our mission-criti
Customer Success Representative - Utah
Nav is democratizing small business financing. In other words, we give small business owners access and control. Yes, this challenges the norm, but it means working with curious, purpose driven, dedi
Hybrid Market Development Administrator (DaVita IKC)
601 Hawaii St, El Segundo, California, 90245-4814, United States of America The Market Development Administrator markets the VilliageHealth program to new clients as well as provides account manageme
Assistant Account Manager, Marketing & Events
Headquartered in Plano, TX, Cinemark Holdings, Inc. is a leader in the motion picture exhibition industry with 500+ theatres in the U.S. and Latin America. Join Our Team! Do you enjoy working togethe
Director of Revenue Operations
Our mission is to increase the success rate of small businesses. Traditional banking has been a growth limiter rather than a growth enabler for business owners, and we’re changing that. Relay is the
Mid-Market Account Manager - Charleston, WV
Mid-Market Account Manager - Charleston, WV Charleston, WV, USA • Huntington, WV, USA Req #1777 Tuesday, December 12, 2023 Segra is searching for a dynamic and experienced Mid-Market Account Manager
Automotive Account Manager
Sinclair Digital Group is seeking an accomplished and forward-thinking Digital Account Manager to join our Drive Auto team and serve as a subject matter expert. This role involves being an contributo
Agency Associate Operations Representative - Remote
Symetra has an exciting opportunity to join our service team as an Agency Associate Operations Representative! About the role The Associate Operations Representative will gain a broad range of knowle
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved