Remote Telephonic Nurse Case Manager RN – Compact States

Optum

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Requisition Number: 2206116
Job Category: Nursing
Primary Location: Springfield, MO
(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.

 

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.
As an RN Telephonic Nurse Case Manager, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. You will also be responsible for providing health education, coaching and treatment decision support for members.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
The schedule for this position includes 2 days per week where you will be expected to work until approximately 8pm, based on member availability.
Primary Responsibilities:

  • Making outbound calls to assess members’ current health status, also inbound calls in a queue about 2.5 hrs/day
  • 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 and services as needed (home health, DME, etc.)
  • Educating members on disease processes
  • Encouraging members to make healthy lifestyle changes
  • Making “welcome home” calls to ensure that discharged member receive the necessary services and resources/ duplicate of first bullet point
  • Documenting and tracking findings

 

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:

  • Active, unrestricted RN license (compact state highly preferred)
  • 3+ years of clinical experience (any setting); CM preferred
  • Computer proficiency utilizing MS Office (Word, Excel, PowerPoint and Outlook), including the ability to type and talk at the same time while navigating a Windows environment
  • Reside in a location that can receive a UnitedHealth Group approved high speed internet connection or can leverage existing high – speed internet service
  • Access to dedicated work space from home for in home office set up

 

Preferred Qualifications:

  • BSN
  • Certified Case Manager (CCM)
  • ICU, Cardiology or Critical Care experience
  • Telephonic case management experience
  • Experience with discharge planning
  • Experience in a remote position
  • Solid working knowledge chronic medical diagnoses (CHF, COPD, diabetes, etc.)
  • Bilingual in Spanish

 

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $58,300 to $114,300 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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.