Remote Transplant Nurse Case Manager RN, Multi Location

Optum

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Requisition Number: 2195561
Job Category: Nursing
Primary Location: Downers Grove, IL
(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.

 

As a Telephonic Transplant Nurse Case Manager RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need.  This is a telecommute / work from home position.

 

Shift:  Monday – Friday, 8am – 4:30pm.   Shift requires some days to be worked until 7pm as needed

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

 

Primary Responsibilities:

  • 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

 

This position will require active and unrestricted Nursing licensure in multiple US States.  Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)

 

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 your state of residence
  • Ability to obtain RN licensure in other states as needed
  • 3+ years of nursing experience as an RN
  • Experience as a Case Manager for an insurance company OR Transplant experience in hospital setting
  • Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
  • Access to high speed internet from home (broadband cable, DSL or fiber optic)
  • Dedicated workspace from home

 

Preferred Qualifications:

  • Reside in a compact RN license state
  • Certified Case Manager (CCM)
  • 5+ years of Transplant experience working as an RN
  • Experience working in a Critical Care, ICU or Oncology setting
  • Background in managed care (MCO) or insurance setting
  • Case Management experience

 

California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $56,300 to $110,400 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.

 

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