Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm) As a RN Case Manager, you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting members with safe, effective transitions from care environments to where they live. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for us all. Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve.   What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.   If you are located in Florida, you will have the flexibility to telecommute* as you take on some tough challenges.    This is a work from home position working with the Healthy First Steps Program. Employee must reside in the state of Florida, in the greater Miami, Miramar, Orlando, Tampa or Jacksonville area. This position will be working with high risk OB population.   Primary Responsibilities: Making outbound calls to assess members' current health status (potential for field visits as well)  Take incoming calls from members  Identifying gaps or barriers in treatment plans  Providing patient education to assist with self-management  Interacting with Medical Directors on challenging cases  Coordinating care for members  Making referrals to outside sources  Coordinating services as needed (home health, DME, etc.)  Educating members on disease processes  Encouraging members to make healthy lifestyle changes  Documenting and tracking findings  Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources Required Qualifications:   Active, unrestricted RN license in the State of Florida  Permanent residence in Florida 3+ years of experience in a hospital setting, acute care, direct care experience (OB and / or Maternity)  Proficient level of experience with Microsoft Office including Word, Excel and Outlook, with the ability to navigate a Windows environment  Strong organizational skills and multitasking abilities  Strong critical thinking skills  Land line telephone capability within your residence Preferred Qualifications: Bachelor's Degree  Experience working with a High Risk population  Experience working with Maternal / Child Nursing Knowledge of Florida Community Maternal Child Resources Case Management, Utilization Review, discharge planning or other managed care experience  Certified Case Manager (CCM) Bilingual in English / Spanish If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.   Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work. (sm)    *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.   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, Registered Nurse, Nurse, case manager, OB, maternity, NICU, telephonic, high risk, Jacksonville, St John, Duval, Volusia, Tallahassee, Gainesville, Florida, FL, Telecommuter, Telecommute, Telecommuting, Remote, UHG, UnitedHealth Group, UHC, UnitedHealthcare, Community and State, Public Sector

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.