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Details
Posted: 15-Jan-23
Location: Phoenix, Arizona
Salary: Open
Categories:
General Nursing
Internal Number: 119947926
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)
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 with UnitedHealth Group, 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!
If you are located in Phoenix, AZ area you will have the flexibility to work remotely* 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
- Interact with Medical Directors on challenging cases
- Coordinate care for members
- Make referrals to outside sources
- Coordinate services as needed (home health, DME, etc.)
- Educate members on disease processes
- Encourage members to make healthy lifestyle changes
- Document and track findings
- Utilize Milliman criteria to determine if patients are in the correct hospital setting
- Make Welcome Home calls to ensure that discharged member receive the necessary services and resources
Required Qualifications:
- Current, unrestricted RN license in Arizona
- Certified Case Manager (CCM) or the ability to obtain certification within 18 months of employment
- Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses
- 3+ years of experience as a Registered Nurse in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
- Ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word
- Private home office and access to high-speed Internet (Fiber Optic/Cable)
- Ability to travel to the Phoenix, Arizona office for meetings as needed, based on the needs of the business
Preferred Qualifications:
- Bachelor's Degree
- Certified Case Manager (CCM)
- Case management experience
- Disease management experience
- Discharge planning experience
- Experience in utilization review, concurrent review and/or risk management
- Background in managed care
- Bilingual in Spanish
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.
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.
More Jobs from This Employer
https://careers.nhpco.org/jobs/18056107/rn-case-manager-remote-in-arizona
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