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 Telephonic RN Case Manager (High Risk SNP) - Bilingual Spanish Required - Miami, - Miami Beach, Florida, United States

Job information
Posted by: Optum Operations 
Hiring entity type: Other 
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 - Other
Travel: Unspecified 
Accept candidates: from anywhere 
Languages: Spanish - Fluent
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 719969808 / Latpro-3618978 
Date posted: Jun-09-2018
State, Zip: Florida, 33109


Were making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance thats driving the health care industry forward. As a Telephone Case Manager RN, youll 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!

***This position is a telecommute / work from home opportunity Monday - Friday during standard business hours.***

If you are located within a commutable distance from Miami or Ft. Lauderdale, FL area you will have the flexibility to telecommute* as you take on some tough challenges.

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. Youll 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.

This position will require active and unrestricted Nursing licensure 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)

Required Qualifications:

Current, unrestricted RN license in the state of Florida

3+ years of experience in a hospital, acute care or direct care setting

Bilingual skills (fluency in Spanish/English); speak, read and write

Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required

Must be able to talk and type simultaneously and have the ability to navigate a Windows based environment

Intermediate / proficient level of experience with MS Office applications

Ability to handle multiple tasks and function in a high volume environment

Must be willing / able to obtain CCM (Certified Case Manager) within 30 months of employment if not already certified

Must live within a commutable distance of our Miami, FL office location
Preferred Qualifications:


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

Experience working with chronic, complex diagnoses (CHF, COPD, diabetes, etc.)

Home health experience
Answer the call touse your diverse knowledge and experience to make health care work better for our patients. Join us and start doingyour lifes best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy
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.

Job Keywords: Registered Nurse, RN, case manager, case management, managed care, telephonic, health care, healthcare, home health, CCM, high risk, bilingual, Spanish, Miami, Ft. Lauderdale, FL


See job description.


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