Care Manager, RN - Multiple openings - (US-TX-Houston - 77299)

Minimum Education: Tech School
Job Type: Full Time
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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 in the Houston area. 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 Medicaid

Skills:
The chosen RN must possess:
• A current, unrestricted RN license in their state of residence
• Clinical experience
• A home healthcare background
• Medicare and Medicaid knowledge
Preferred experience:
• Bilingual skills in Spanish, Vietnamese or Chinese
• A stable work history
• Telephonic nursing experience
• A long term care history


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