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Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what’s right for the people we serve, even when it’s not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We’re looking for driven people like you because changing the status quo takes dedication. Here, we’ll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life’s best work.(sm)

The Nurse Care Manager (NCM) is an integral part of the Interdisciplinary Care Team (IDT) and is responsible for the overall care management process for high acuity engaged patients. The NCM has oversight for developing, managing, and coordinating patients’ plan of care to include medical and psychosocial needs and patient-centered goals. The NCM works with patients/caregivers to maintain and improve health status by providing care coordination, health education, guidance and support for medical and psychosocial complex chronic conditions. Professionals in this role elicit input from the IDT based on initial and ongoing comprehensive assessments of the patient. 

The NCM uses nursing assessment, evaluation skills, data and reports to guide care planning decisions for the patient. They are skilled at navigating the patients’ health plan benefits to identify providers, resources and vendors that provide required care and services. The NCM works collaboratively with the IDT to provide appropriate, effective, high quality, and cost-effective care to engaged patients in their current residence. If a patient requires care outside their residence, the NCM collaborates with community-based service providers to ensure coordinated care during critical times of transition between health care settings and home. 

In addition to the NCM, the Home-based Medical Care IDT includes but not limited to, physicians, nurse practitioners, physician assistants, nurse care managers, behavioral health clinicians, social workers, pharmacists, dietitian/nutritionists, ambassadors, care coordinators, the patient and/or caregiver and family. 

If you are located in Jacksonville, FL, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

• Oversees and supports the telephonic RN Nurse Care Managers and the non-clinical field staff comprised of Healthcare Ambassadors as well as helps lead the allied clinical staff
• Directs the care management team who are responsible for core clinical processes, such as effective care planning, transitions of care management, quality, and care collaboration with health plans and community providers
• Assists with quality initiatives for the market and participates in the market Quality Management Committee
• Interfaces with health plan case management leaders and resolves escalations and complex situations through clinical case reviews

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:

• RN License in the State(s) where you will practice. RN License must be current, active, unrestricted and unencumbered
• 3+ years of clinical practice in a hospital, home care, hospice, clinic, or nursing home setting 
• Electronic Medical Record documentation experience 
• Computer skills: internet navigation, Microsoft Office - Outlook, Word and Excel 
• Proficient in patient-centered Care Plan creation and active management 

Preferred Qualifications:

• BSN 
• Case Management experience and CCM Certification
• 1+ years of Utilization Management experience 
• Disease state management experience with strong ability to educate patients on health and wellness highly 
• Population Health management experience 
• Ability to manage a patient caseload using data and reports highly 
• Advanced interpersonal and telephonic communication skills
• Solid organizational skills
• Ability to complete all work independently and within designated timeframes
• Adaptable, flexible, and able to maintain a positive attitude during change in process, practice or policy

Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what’s right for the people we serve, even when it’s not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We’re looking for driven people like you because changing the status quo takes dedication. Here, we’ll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life’s best work.(sm)

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.