Telephonic Case Manager RN, Telecommuting Opportunity

Company:	UnitedHealth Group Company Profile \| Current Opportunities (69)
Job Location(s):	Richardson
Employment Term:	Regular
Employment Type	Full Time
Start Date:	As soon as possible
Starting Salary Range:	Not Provided
Required Education:	Bachelor's Degree
Required Experience:	Open
Related Categories:	Social Services/Community

Position Description

Telephonic Case Manager RN, Telecommuting Opportunity-332641

Description

As a Case Manager in our Richardson office, you will review patient status over the phone while ensuring they are receiving the best care.

We are currently hiring for shifts which include afternoons/evenings.

11AM - 7PM or 12-Noon - 8PM
Monday - Friday; plus Saturday (daytime) rotations.
Ability to work 4 - 10 hour shifts; also includes Saturdays
Opportunity to Telecommute based on performance and initial training in office
Must be local to the Richardson, TX office.

Primary Responsibilities:

Responsibilities for Case Managers 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
Documenting and tracking findings
Utilizing Milliman criteria to determine if patients are in the correct hospital setting
Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

Qualifications

Requirements:

Current, unrestricted RN license in the State of TX
3 years experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment

Additional Assets Preferred:

Bachelor's Degree
A background in managed care
Case Management experience
Certified Case Manager (CCM)
Experience/exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management
Strong organizational skills and multitasking abilities will be keys to success

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

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.
If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.
By providing 58 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.

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.

Job Case Management

Primary LocationUS-TX-Richardson

Organization CS Health Management Solutions

Schedule Full-time

Number of Openings 1