Complex Case Manager, RN - NAMM - Murrieta, CA - Full-time / Part-time

For over 18 years, North American Medical Management, California, Inc. (NAMM California) has been an innovator in healthcare with a track record for quality, financial stability, extraordinary services and integrated medical management programs.   
 
No nights, weekends or holidays! Great company and benefits! Growth opportunities!
 
As a part of our continued growth we are searching for a new RN Complex Case Manager to join our team...
 
Primary Responsibilities: 


Takes in-bound calls and places out-bound calls as dictated by consumer and business needs

Provides health education and coaches consumers on treatment alternatives to assist them in making informed decisions about healthcare choices

Supports consumers in selection of best physician and facility to maximize access, quality, and to manage healthcare costs

Coordinates services and referrals to health programs

Prepares individuals for physician visits and assesses and triages immediate health concerns

Manages utilization through patient education

Identifies problems or gaps in care offering opportunity for intervention

Assists members in sorting through their benefits and making choices

Visiting local area Medical Offices on a monthly basis

Required Qualifications:


Current and unrestricted RN license in California
2+ years of Case Management experience: Complex cases, Disease Management or Special Needs Patients
Excellent written and verbal communication skills
Proficiency in Microsoft Office: Outlook, Word, Excel & PowerPoint 
Preferred Qualifications: 

Certified Case Manager (CCM)
Managed Care work experience
Previous Telephonic Case Management experience
Bilingual in Spanish
BSN degree
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)
 
North American Medical Management, California, Inc (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and managers provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.
 
The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets. 
 
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
Job Keywords:  Case Manager, Managed Care, RN, CCM, Health plan, IPA, Disease Management, Murrieta, CA, California