Remote Telephonic Case Manager RN – Arizona

Optum

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Requisition Number: 2173074
Job Category: Nursing
Primary Location: Phoenix, AZ
(Remote considered)

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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 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:
  • 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
  • Make outbound calls to assess members’ current health status
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 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)
  • 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
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
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 employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy