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 Telephone 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. Ready for a new path? Apply today! Answer the call to use your diverse knowledge and experience to make health care work better for our patients. Join us and start doing your life's best work.(sm) Primary Responsibilities: Make outbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self - management Make referrals to outside sources 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 This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing 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.
Current, unrestricted RN license in the state of North Carolina
3+ years of experience in a hospital, acute care or direct care setting
Must be able to type and have the ability to navigate a Windows based environment
Must be able to obtain CCM within 30 months of employment
Must be proficient in Microsoft Office
Must have broadband internet service
Requires active and unrestricted Nursing license in multiple US states. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid by UHC).
A background in managed care
Case management experience
Certified Case Manager (CCM)
Experience or exposure to discharge planning
Experience in utilization review, concurrent review or risk management
Previous experience in a telephonic role
Bilingual Spanish and English
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Key words: Registered Nurse, RN, case manager, case management, managed care, telephonic, health care, healthcare