About UHG

Careers at UnitedHealth Group


We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:




Approximate Salary:

Not Specified

Position Type:

Full Time

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Field Based Assessment / Utilization RN - Milwaukee, WI

UHG - Milwaukee, Wisconsin

Posted: 11/1/2018

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)


This position serves Milwaukee County with occasional coverage in surrounding counties. This is a office and field based position with a local travel expectation of about 50%.


Primary Responsibilities:

  • Conducting face to face assessments in the member’s home
  • Applying State guidelines to requests for services
  • Making outbound calls to assess members' current health status
  • Documenting and tracking findings
  • 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

Required Requirements:

  • Current, unrestricted RN license in the State of Wisconsin
  • 2+ years’ experience in a hospital setting, acute care, direct care experience or experience as a Home Health Case Manager
  • Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
  • Reliable transportation to travel to member’s homes within the geographical area

Preferred Qualifications:

  • A background in Medicaid / Medicare managed care
  • Home Health Case Management experience
  • Experience in utilization review, concurrent review and / or risk management
  • Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
  • Bilingual skills
  • Experience with the Personal Care Screening Tool (PCST) or the Long Term Care Functional Screen (LTCFS)

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)



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, Case Manager, Care Coordinator, case management, CCM, social services, community health, Medicaid, managed care, home health, public health, hospice, behavioral health, mental health, long term care, LTC, LTSS, Medicaid waiver, Spanish, Bilingual, Utilization Review, Utilization Management, concurrent review, risk management, Acute, Care, Hospital, Experience with Personal Care Screening Tool, PCST, Long Term Care Functional Screen, LTCFS, Wauwatosa, Milwaukee, Wisconsin, WI

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