RN Case Manager Telephone Advice Nurse

UnitedHealth Group • Las Vegas, NV

257d • $28 - $56 • Remote

About The Position

Optum NV is seeking a RN Case Manager Telephone Advice Nurse to join our team in Nevada. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Requirements

• Current, unrestricted RN licensure
• 3+ years of Clinical RN experience, resulting in excellent clinical skills and critical thinking
• Proven solid inbound and outbound telephonic skills
• Proven intermediate or expert level of proficiency with being able to assess and identify needs and being able to influence and motivate
• Intermediate computer skills (Microsoft Word, Outlook and Internet) with the ability to navigate a Windows environment and the ability to create, edit, save and send documents utilizing Microsoft Word

Nice To Haves

• Bachelor's degree in Nursing
• Coaching and/or decision support experience
• Managed care experience
• Proven conflict management skills
• Proven understanding of change and ability to move members along the continuum of change
• Proven ability to work under pressure and appropriately prioritize responsibilities

Responsibilities

• Provide health education and coach consumers on treatment alternatives to assist them in best decision making
• Support consumers in selection of best physician and facility to maximize access, quality, and to manage health care cost
• Coordinate services and referrals to health programs
• Prepare individuals for physician visits
• Assess and triage immediate health concerns
• Manage utilization through education
• Identify problems or gaps in care offering opportunity for intervention
• Assist members in sorting through their benefits and making choices
• Take in-bound calls and place out-bound calls as dictated by consumer and business needs
• Special projects, initiatives, and other job duties as assigned

Benefits

• $10,000 Sign On Bonus for External Candidates
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree