Telephonic Transplant RN Case Manager - Work from home in TN - Full-time / Part-time

• Receiving clinical information and making determinations on eligibility to receive an organ transplant 


• Communicating with staff at the transplant facility and assisting members through the transplant process 


• Verifying eligibility information and conducting research in order to educate members on their benefits 


• Conducting clinical reviews of members 


• Reaching out to members to help them navigate information and to explain benefits that are available to them as well as medication, lifetime adherence and compliance to treatment 


• Following up with the member and facility throughout the whole process 


• Maintain the confidentiality of sensitive and protected health information

• Permanent residence in the state of TN with an active, unrestricted RN license 


• 3+ years of experience in a hospital, acute care, or direct care setting 


• 1+ years of transplant experience (clinically or as transplant coordinator) 


• Proficient level of experience with Microsoft Office applications including Word, Excel, and Outlook, and the ability to navigate a Windows environment


• Strong organizational skills and multitasking abilities 


• Ability to work independently in a high volume environment

• Bachelor's Degree in Nursing 


• Bilingual skills (fluent in Spanish/English) 


• Case Management experience 


• Certified Case Manager (CCM) 


• Experience in utilization and/or concurrent review

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.




UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.