Nurse Case Manager - Essex County NJ

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Case Manager RN, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. If you are located within Essex County , New Jersey, territory and willing to travel up to 80% of your time to assigned territory , you will have the flexibility to work remotely as you take on some tough challenges Primary Responsibilities: Comprehensive Assessment & Care Planning + Conduct thorough health assessments, including medical history, chronic conditions, behavioral health, and social determinants of health + Develop individualized care plans that address medical, rehabilitation, behavioral health, and social needs + Create personalized interventions that integrate medical treatment, support services, and community resources Member Engagement, Education & Self-Management + Build and maintain relationships with an established caseload of high-risk members + Provide education to members and caregivers on disease processes, treatment adherence, and lifestyle changes + Encourage self-management strategies that support long-term wellness and reduce complications + Maintain consistent outreach to support adherence to care plans and monitor evolving needs Intensive Care Coordination + Coordinate services across providers, including PCPs, specialists, hospitals, LTSS, behavioral health, and pharmacy. + Facilitate referrals for home health, hospice, palliative care, and DME + Collaborate with Medical Directors during interdisciplinary rounds to review and align care for complex cases Discharge Planning & Transitional Care + Support members through transitions of care such as hospitalization, skilled nursing, and rehabilitation + Conduct

Created: 2026-01-19