[Hiring] Telephonic RN Case Manager @UnitedHealth Group

Role Description

As Telephonic RN Case Manager, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. You will also be responsible for providing health education, coaching and treatment decision support for members.

If you reside in El Paso, TX, you will have the flexibility to work remotely*, 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 strongly 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 RN license in the state of Texas
• Ability to obtain multi-state RN Licensure
• 3+ years of experience as a Registered Nurse in varied settings
• 1+ years of case management experience
• Proficient Microsoft skills (Word, Excel, Outlook, Windows 10)
• Access to high-speed internet from home (Broadband Cable, DSL, Fiber)
• Dedicated, distraction-free workspace in home for home office
• Bilingual English and Spanish
• Driver’s License and access to reliable transportation

Preferred Qualifications

• BSN
• Compact RN license
• Certified Case Manager (CCM)
• High risk pregnancy experience
• Experience educating patients with complex conditions
• Disease management experience
• Experience or exposure to discharge planning
• Experience in utilization review, concurrent review or risk management
• Telephonic nursing experience
• Background in managed care, hospital, acute care settings

Requirements

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as:

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

The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Company Description

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.