Case Manager RN - Remote
About The Position
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. 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 Telephonic RN Case Manager, you’ll support a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well by outreaching post discharge or outreaching with a disease specific focus. 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! This is a high volume, member focused environment. You’ll need to be efficient, productive, and thorough working 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.
Requirements
- Current, unrestricted RN license in a compact state of residence with the ability to obtain multiple state licenses as required
- 3+ years of experience as a Registered Nurse in a hospital, acute care or direct care setting
- Computer Skills: Intermediate/Proficient internet navigation, talk and type at the same time, Microsoft Office- Outlook, Word and Excel, navigate a Windows based environment
- Ability to handle multiple tasks and function in a high-volume environment
- May be required to obtain a Certified Case Management certification within 30 months of employment
- Dedicated, distraction-free workspace in home for home office
- Access to high-speed internet
- This position requires an unrestricted compact nursing license and may require additional licensing 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)
Nice To Haves
- Certified Case Manager (CCM)
- Experience in case management
- Proven ability to educate patients on health and wellness
- Proven organizational skill and ability to complete all work independently and within designated timeframes
- Demonstrates being adaptable, flexible, and able to maintain a positive attitude during changes in process, practice or policy
- Spanish speaking
Responsibilities
- Provide a complete continuum of quality care through close communication with members via manual outbound calls and progressive dialer calls
- Manages and coordinates care and services with interdisciplinary care team to identify and close gaps or barriers in treatment plans
- Engages and collaborate with patient and/or caregiver to develop individualized Care Plan
- Supports members with health education, medication reviews, and referrals to community resources
- Acts as an advocate for the patient
- Maintains HIPAA compliance at all times
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
