Telephonic Case Manager RN - Remote

UnitedHealth Group•Phoenix, AZ

15h•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We’re making a solid 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 Telephonic Case Manager RN with Optum, 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! Hours are Monday through Friday within normal business hours with 1 night a week until 6PM

Requirements

Current unrestricted Compact License
Ability to obtain CCM certification within 18 months of employment or currently a Certified Case Manager (CCM)
Ability to present member case stories to consultants twice a year either onsite in Arizona or virtually
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)
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Nice To Haves

Bachelor's Degree
Certified Case Manager (CCM)
Case management experience
Disease management experience
Discharge planning experience
Background in managed care
Based in the Phoenix, Arizona area; and be able to come to the local office for meetings as needed, based on the needs of the business

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
Make Welcome Home calls to ensure that discharged member receive the necessary services and resources