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.
The Telephonic Nurse Case Manager works in fast paced, customer service environment. You’ll need to be efficient, productive, and thorough dealing with our members over the phone. Effective computer and software navigation skills are critical. You should also be patient-focused and adaptable to changes.
The schedule is Monday through Friday and includes working until 8pm two to three evenings per week in the local time zone.
Selected candidate(s) must be able to travel to the nearest UnitedHealth Group office for meetings based on business needs.
This position will require active and unrestricted nursing licensure in multiple U.S. States. Selected candidate(s) must have a compact state nursing license or willing to obtain a compact state nursing license, as well as obtain and maintain additional multiple state licensure. Application fees and filing costs paid for by UHG.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. 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 internal and external sources as outlined by member’s benefit plan design.
- Provide a complete continuum of quality care through close communication with members via on-phone and/or digital interaction
- Support members with condition education, medication reviews, and connections to resources such as community and professional resources
- Collaborate with Medical Director, Social Worker, and other internal program resources to optimally support the members
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 in a compact nursing licensure state of residence.
- Active compact nursing licensure or willingness to obtain the compact nursing license.
- 3+ years of experience as a Registered Nurse in a hospital, acute care, or direct care setting
- Experience with direct data entry and utilizing multiple computer systems or applications to best service the member
- Experience in Case-Disease Management, Disability Management, Home Health Care and/or Hospice
- Intermediate-level proficiency with MS Office applications
- Proven dedicated, distraction-free workspace and access to install secure high-speed internet via cable/DSL/fiber at home
- Access to reliable transportation that will allow you to travel to a UnitedHealth Group office for meetings based on business needs
- Ability to work 2-3 evenings per week until 8pm in the local time zone
Preferred Qualifications:
- Nursing Degree (Associate Degree or BSN)
- Certified Case Manager (CCM) or willingness to obtain CCM certification within 18-24 months
- Experience or exposure to discharge planning
- Experience in a telephonic role
- Background in managed care
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.