RN Case Manager Kissimmee, FL

    • Kissimmee, FL

Position Description

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

Primary Responsibilities:

  • Make outbound calls and receive inbound calls to assess members' current health status
  • Identify gaps or barriers in treatment plans
  • Provide patient education to assist with self-management
  • Make referrals to outside sources
  • Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
  • Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels

This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes.

This is a clinic based role, located at 306 East Oak Street Kissimmee, FL

Monday-Friday: 8am-5pm

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.

Required Qualifications:
  • Current, unrestricted RN license in the state of Florida
  • 3+ years of experience in a hospital, acute care or direct care setting
  • Must be able to type and have the ability to navigate a Windows based environment


Preferred Qualifications:
  • BSN
  • Bilingual Spanish
  • A background in managed care
  • Case management experience
  • Certified Case Manager (CCM)
  • Experience or exposure to discharge planning
  • Experience in utilization review, concurrent review or risk management
  • Previous experience in a telephonic role


Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 380,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

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.

Job Keywords: RN, Case Manager, CCM, clinic, Managed care, acute care, BSN, UR, concurrent review, telephonic, Kissimmee, Orlando, Lake Buena Vista, FL, Florida

With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.

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