[Hiring] Telephonic Case Manager RN @UnitedHealth Group

Role Description

As a Telephonic Case Manager RN with Optum, 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.

Primary 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 (home health, DME, etc.)
• Educate members on disease processes
• Encourage members to make healthy lifestyle changes
• Document and track findings
• Make Welcome Home calls to ensure that discharged members receive the necessary services and resources

Qualifications

• Current unrestricted Compact License
• Ability to obtain CCM certification within 18 months of employment or currently a Certified Case Manager (CCM)
• Ability to present member case stories to consultants twice a year either onsite in Arizona or virtually
• 3+ years of experience as a Registered Nurse in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
• Ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word
• Private home office and access to high-speed Internet (Fiber Optic/Cable)

Requirements

• Based in the Phoenix, Arizona area; and be able to come to the local office for meetings as needed, based on the needs of the business
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)
• Salary range: $60,200 to $107,400 annually based on full-time employment