Case Manager, RN - Lisle, IL - Lisle, Illinois - 518888

Case Manager, RN - Lisle, IL - Lisle, Illinois, United States

Job information

Posted by:	UnitedHealth Group
Hiring entity type:	Insurance
Work authorization:	Existing work authorization required for United States
Position type:	Direct Hire, Full-Time
Compensation:	******
Benefits:	See below
Relocation:	Not specified
Position functions:	Nursing - Case Management Nursing - Clinic RN
Travel:	Unspecified
Accept candidates:	from anywhere

Languages:	English - Fluent
Minimum education:	See below
Minimum years experience:	See below
Resumes accepted in:	English
Cover letter:	No cover letter requested
Job code:	518888 / Latpro-2477944
Date posted:	May-10-2013
State, Zip:	Illinois, 60532

Description

Want to learn more before applying for this role? Click here to view the Realistic Job Preview: Telephonic_Case_Manager_Optum.pdf

OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.

As a part of our continued growth, we are searching for a Nurse Case Manager to join our team!!

Primary responsibilities:

Making outbound calls to assess members' current health status
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
Documenting and tracking findings
Utilizing Milliman criteria to determine if patients are in the correct hospital setting
Making "welcome home" calls to ensure that discharged member receive the necessary services and resources

We are currently hiring for our consumer hours (10:30AM-7PM, 11:00AM to 7:30PM, or 11:30AM-8PM) Monday through Friday plus Saturday hours are available. Additional compensation will be awarded for weekday hours worked AFTER 5PM and the entire duration of the Saturday shift.

Requirements

Current, unrestricted RN license in the State of IL
3 years experience in a hospital setting, acute care, direct care experience OR experience as a telephonic Case Manager for another insurance company
Computer proficiency including the ability to type and talk at the same time and to navigate a Windows environment

Additional Assets Preferred:

BSN
A Background in managed care
Certified Case Manager (CCM)
Experience /exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management
Strong organizational skills and multitasking abilities will be keys to success

By providing 58 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.

At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

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UnitedHealth Group requires you to fill in their application form that will open in a different window.
Enter your email address and click 'Apply': Apply
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