[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 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.

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

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

• 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)

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment.

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.