Telephonic RN Case Manager - Onsite

UnitedHealth Group•Cheektowaga, NY

2d•$60,200 - $107,400•Onsite

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 solid 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 Nurse 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. 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!

Requirements

Active, unrestricted RN license in the State of New York
Multiple state licensure (in addition to Compact License if applicable) OR the ability to obtain multiple state nursing licenses
3+ years of RN experience in a hospital setting, acute care, direct care, or as a Case Manager at an insurance company
Computer proficiency including navigating a Windows environment; using MS Outlook; creating, editing, saving, and sending documents in MS Word; talking and typing at the same time; and using multiple applications simultaneously
Willing or ability to work Monday - Friday: 3 days/week 8 am - 5 pm and 2 days/week 11 am - 8 pm
Willing or ability to work onsite in our Cheektowaga, NY office for the first 6-12 months resides within 25 miles from the office
Access to install secure, high-speed internet and a dedicated workspace at home
Resides in New York

Nice To Haves

Bachelor's degree
Certified Case Manager (CCM)
Home health experience
Managed care experience
Case management experience
Experience with/exposure to discharge planning

Responsibilities

Make outbound calls to assess members' current health status
Identify gaps or barriers in treatment plans
Provide patient education to assist with self-management
Interact with Medical Directors on challenging cases
Coordinate care for members
Make referrals to outside sources
Coordinate services as needed (i.e., home health, DME, etc.)
Educate members on disease processes
Encourage members to make healthy lifestyle changes
Document and track findings
Utilize Milliman criteria to determine if patients are in the correct hospital setting
Make ‘welcome home’ calls to ensure that discharged members receive the necessary services and resources