Telephonic RN Case Manager providing post-discharge and disease-focused outreach, care coordination, education, medication review, and referrals. Uses outbound and progressive dialer calls, documents care plans, maintains HIPAA compliance, and collaborates with interdisciplinary teams to close gaps and advocate for members. Remote role requiring multi-state licensure and a distraction-free home workspace.
Requisition Number: 2362829
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
We're making a strong 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 Telephonic RN Case Manager, you'll support a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well by outreaching post discharge or outreaching with a disease specific focus. 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!
This is a high volume, member focused environment. You'll need to be efficient, productive, and thorough working with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes.
Hours: Monday - Friday: 8:00 am to 5 pm in local time zone and may require one evening per week
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
This position requires an unrestricted compact nursing license and may require additional licensing in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)
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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
We're making a strong 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 Telephonic RN Case Manager, you'll support a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well by outreaching post discharge or outreaching with a disease specific focus. 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!
This is a high volume, member focused environment. You'll need to be efficient, productive, and thorough working with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes.
Hours: Monday - Friday: 8:00 am to 5 pm in local time zone and may require one evening per week
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Provide a complete continuum of quality care through close communication with members via manual outbound calls and progressive dialer calls
- Manages and coordinates care and services with interdisciplinary care team to identify and close gaps or barriers in treatment plans
- Engages and collaborate with patient and/or caregiver to develop individualized Care Plan
- Supports members with health education, medication reviews, and referrals to community resources
- Acts as an advocate for the patient
- Maintains HIPAA compliance at all times
This position requires an unrestricted compact nursing license and may require additional licensing in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)
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:
- Current, unrestricted RN license in a compact state of residence with the ability to obtain multiple state licenses as required
- 3+ years of experience as a Registered Nurse in a hospital, acute care or direct care setting
- Computer Skills: Intermediate/Proficient internet navigation, talk and type at the same time, Microsoft Office- Outlook, Word and Excel, navigate a Windows based environment
- Ability to handle multiple tasks and function in a high-volume environment
- May be required to obtain a Certified Case Management certification within 30 months of employment
- Dedicated, distraction-free workspace in home for home office
- Access to high-speed internet
Preferred Qualifications:
- Certified Case Manager (CCM)
- Experience in case management
- Proven ability to educate patients on health and wellness
- Proven organizational skill and ability to complete all work independently and within designated timeframes
- Demonstrates being adaptable, flexible, and able to maintain a positive attitude during changes in process, practice or policy
- Spanish speaking
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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