Telephonic Case Manager Nurse RN in Louisiana, Possible Telecommute U.S. - Full-time / Part-time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

 Responsibilities for Telephonic Case Managers include:

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  Making outbound calls to assess members' current health status


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  Identifying gaps or barriers in treatment plans


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  Providing patient education to assist with self management


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  Interacting with Medical Directors on challenging cases


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  Coordinating care for members


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  Making referrals to outside sources


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  Coordinating services as needed (home health, DME, etc.)


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  Educating members on disease processes


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  Encouraging members to make healthy lifestyle changes


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  Documenting and tracking findings


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  Utilizing Milliman criteria to determine if patients are in the correct hospital setting

This is a work from home opportunity that offers a flexible work schedule Monday - Friday from 9A - 7:30P CST with no weekends or holiday coverage!

Two work schedule options: M-F 9A - 6:30P or four 10 hour shifts: 9A - 7:30P (off day of Tuesday, Wednesday or Thursday)

Requirements:

• Current, unrestricted RN license in the State of Louisiana


• 2+ years experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager (preferred) for an insurance company


• 2 + experience with high-risk antepartum and/or in NICU


• Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment

Additional Assets Preferred:

• Bachelor's Degree


• A background in managed care


• Case Management experience


• Certified Case Manager (CCM)


• Experience/exposure with discharge planning


• Experience in utilization review, concurrent review and/or risk management


• Strong organizational skills and multitasking abilities will be keys to success

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.

Keywords: RN, Registered Nurse, Clinical, Case Manager, Case Management, Utilization Review, Utilization Management, Discharge Planning, Hospital, Acute Care, NICU, Medicaid, High Risk Antepartum, Maternity, High Risk Pregnancy, Louisiana, LA, Baton Rouge, Metairie, Work From Home, Telecommute