RN Case Manager - Compact License Required - Remote

UnitedHealth Group•Nashville, TN

10h•Remote

About The Position

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. Join us to start Caring. Connecting. Growing together. We’re creating opportunities in every corner of the health care marketplace to improve lives while we’re building careers. And that means continuous career growth opportunities for you. While we support you with the latest tools, advanced training, and the combined strength of high caliber co-workers. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. 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.

Requirements

Current, unrestricted RN compact license
3+ years of experience in a hospital, acute care, or direct care setting
Basic level of experience with Microsoft Office (Word, Excel, Outlook)
Designated workspace and access to install high-speed internet via hardwire in home

Nice To Haves

Bachelor's Degree
Certified Case Manager (CCM)
Experience working in an outbound call center environment
Experience or exposure in discharge planning, utilization review, concurrent review, risk management or short-term case management
Experience in a telephonic role
Proven solid organizational skills and multitasking abilities
Proven ability to work in a fast-paced environment
Bilingual, Spanish

Responsibilities

Completes post discharge assessments evaluating members for clinical and social needs timely and effectively
Follows model of care requirements as outlined in policies, procedures, and job aids
Educates members on disease process and medications to include completion of the Medication Reconciliation - Post Discharge
Evaluates members for ongoing needs and completes referrals as appropriate
Manages, communicates and updates plan of care with members
Collaborates with other programs and departments as necessary
Collaborates with Primary Care Physicians regarding medication concerns, questions, or other member needs
Ability to work independently and follow program processes