[Hiring] Telephonic Case Manager RN Transplant Medicine @UnitedHealth Group

Role Description

The Telephonic Case Manager RN Transplant will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Transplant is responsible for clinical operations and medical management activities across the continuum of care:

• Assessing
• Planning
• Implementing
• Coordinating
• Monitoring
• Evaluating

This includes case management, coordination of care, and medical management consulting.

This is a full-time, Monday - Friday, 8am-5pm position in your time zone. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Make outbound calls and receive inbound calls to assess members' current health status
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• Make referrals to outside sources
• Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
• Support members with condition education, medication reviews, and connections to resources such as Home Health Aides or Meals on Wheels

This is a high volume, customer service environment. You'll need to be efficient, productive, and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes.

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.

Qualifications

• Current, unrestricted Compact RN license in the state of residence
• 3+ years of experience in a hospital, acute care or direct care setting
• Proficiency in Microsoft Office Tools and Systems (Outlook, Word, Excel, Teams)
• Have access to high-speed internet (DSL or Cable)
• Dedicated work area established that is separated from other living areas and provides information privacy

Requirements

• New York single state license or willing to obtain within 90 days of employment
• BSN
• Certified Case Manager (CCM)
• 3+ years of experience within the transplant setting
• Case management experience
• Experience or exposure to discharge planning
• Experience in a telephonic role
• Background in managed care
• Bilingual in English and Spanish

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.