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

We are seeking an energetic, well-rounded RN to work within Telephonic Case Management program with Optum's Healthy First Steps Program in AZ, TX, or WI.

Primary Responsibilities Include:

• 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
• Utilizing Milliman criteria related to case management functions

Requirements include:

• RN with current and unrestricted license in the states of WA, AZ, or WI
• 3+ years of clinical RN work experience
• Computer proficiency (Word, Outlook, Internet)
• Excellent communication skills
• Ability to thrive in a fast-paced environment

Additional Assets Preferred:

• Knowledge of Milliman or Interqual Criteria
• Prior case management experience
• Minimum of 2 years of Maternal Child experience
• Certified Case Manager (CCM)
• Managed care background
• Bachelor's of Science, Nursing

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.

OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

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.

key words:  RN, case management, maternal child, CCM, nurse, acute care, managed care, milliman