TRICARE RN Nurse NICU Case Manager Phoenix, AZ
Location: Phoenix Arizona
Description: UnitedHealth Group is at the momment seeking for TRICARE RN Nurse NICU Case Manager Phoenix, AZ right now, this career will be placed in Arizona. For complete informations about this career opportunity kindly read the description below. For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrate! d across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)UnitedHealth Care Military and Veterans is looking for a RN NICU Case Manager. In this position you will be responsible for performing case management activities across the care continuum independently and with other members of the health care team (BHCM, MSW, etc) to ensure quality, cost effective outcomes and minimize fragmentation of health care delivery. In addition, this role will also be responsible for leading a collaborative, integrated (medical and behavioral health) process of assessment, planning, facilitation, and advocacy to meet the beneficiary’s individual health care needs. Our mission is to help people live their lives to the fullest. Our values are Integrity, Compassion, Relationships, Innovation, and Performance.
***This position is located at our office; 2222 W. Dunlap Avenue, Phoenix, Arizona***
Primary re! sponsibilities:
Document all clinical information in a! ccordance with UnitedHealthcare Military & Veterans policies and procedures in the member's electronic medical record
Assess and interprets beneficiary needs, gaps, and requirements
Leads efforts to provide specialized CM services to members identified with very complex conditions or diseases requiring intensive and extensive coordination of resources including accessing centers of excellence with specialty hospitals, multiple specialists and sub-specialists, DME, home care and therapy providers
Works with minimal guidance, seeks guidance on only the most complex tasks
Translates concepts into practice
Provides explanations and information to others on difficult issues
Coaches, provides feedback, and guides others
Collaborates with specialists, physicians, and medical directors to provide the necessary care and cost efficient care for the beneficiary
Assesses the effectiveness and quality of services provided related to clinical, functional, ! and financial impact and outcomes
Coordinating services as needed (home health, DME, etc.)
Educating members on disease processes
Assist with projects and/or assignments designated by the Team Leader, Supervisor or Manager
Adhere to the timeframes surrounding contractual terms as related to obtaining clinical information, communication with providers and internal disciplines
Refer all cases that fall outside of standard criteria to the Medical Director for review, per UnitedHealthcare Military & Veterans policy and procedure
Adheres to ethical, legal/regulatory and accreditation standards
Current, unrestricted RN license in state of Arizona
2-5 years of Oncology experience as an RN
Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
United States Citizenship
Ability to obtain favorable adjudication following submission of Department of Defense form SF86 NAC form SF86
Additi! onal Preferred Assets:
Bachelor’s Degree in Nursing
! Experience working in case management
Case Management Certification (CCM)
Strong organizational skills and ability to multi-task
As a requirement of UnitedHealth Group’s contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 http://www.opm.gov/forms/pdf_fill/sf86.pdf, (the National Agency Check or â€Å"NACâ€Â). Successful completion of the NAC process is a requirement for continued employment in this role. NAC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense. Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received. Failure to obtain final NAC approval will result in termination from this role.
Ca! reers at UnitedHealthcare Military & Veterans. When it comes to their health care, the men and women who help keep the peace deserve the greatest peace of mind. That’s why UnitedHealthcare is the organization that’s called on to serve them and their loved ones. We’re all about finding better ways to help improve their lives no matter where life may take them. So our career opportunities take challenge to a higher level. If you have a commitment to quality that mirrors our commitment to the men and women of the armed forces, take time to learn more about the career paths available here. It’s a genuine opportunity to do your life’s best work.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.
UnitedHealth Group is a drug-free workplace. Candidates are required t! o pass a drug test before beginning employment. In addition, employees ! in certain positions are subject to random drug testing.
Key Words: NICU, Neonatal, ICU, CM, CCM, RN, Phoenix, Arizona, AZ, Nurse, assessment, Case Manager, newborn, infant
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to UnitedHealth Group.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Wed, 16 Oct 2013 02:16:54 GMT