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Job Details
$5,000 Sign On Bonus for External Candidates Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. 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 Telephone Case Manager RN with UnitedHealth Group, 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. Ready for a new path? Apply today! Positions in this function require various nurse licensure and certification based on role and grade level. These roles identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members. Includes Health Coach, Health Educator, and Health Advocate roles that require an RN. *Employees in jobs labeled with ‘SCA’ must support a government Service Contract Act (SCA) agreement. Generally work is self-directed and not prescribed. Hybrid work model; work from home 2 days a week and in the office the remaining 3 days per week. Work schedule is Monday-Friday, business hours for three days then 11am - 8pm for two days a week. Primary Responsibilities:
- Make outbound calls and receive inbound calls to assess members' current health status
- Make referrals to outside sources
- Identify gaps or barriers in treatment plans
- Provide patient education to assist with self-management
- Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
- Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
- Works with less structured, more complex issues
- Serves as a resource to others
- Undergraduate degree or equivalent experience
- Current, unrestricted RN license in the state of employment
- 3+ years of experience in a hospital, acute care or direct care setting
- Ability to support a Hybrid work schedule, including consumer centric hours (11a - 8p CST) two days a week
- Ability to type and have the ability to navigate a Windows based environment
- BSN
- Certified Case Manager (CCM)
- Case management experience
- Experience or exposure to discharge planning
- Experience in discharge planning or utilization review
- Experience in a telephonic role
- Experience in a leadership, account management or client facing role
- Background in managed care
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more