Remote RN Case Manager Nurse – EST Ohio Location

UnitedHealthcare

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Requisition Number: 2187657
Job Category: Nursing
Primary Location: Columbus, OH
(Remote considered)

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

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 Ohio, you will have the flexibility to work remotely* as you take on some tough challenges.

 

Primary Responsibilities:

  • Make outbound calls and receive inbound 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.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Current, unrestricted RN license in the state of employment
  • 3+ years of experience in a hospital, acute care, or direct care setting
  • Ability to type and navigate a Windows based environment

 

Preferred Qualifications:      

  • BSN
  • Certified Case Manager (CCM)
  • Background in managed care
  • Case management experience
  • Experience or exposure to discharge planning
  • Experience in utilization review, concurrent review, or risk management
  • Previous experience in a telephonic role

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.