RN Telephonic Case Manager, AARP – Maryland Heights, MO - Full-time / Part-time

Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm)
 
***Candidates must be willing to work until 6:00pm Central Time for this position.  This is a telecommute, work from home position***
 
Primary Responsibilities:

Making outbound calls to assess members' current health status
Identifying gaps or barriers in treatment plans
Providing patient education to assist with self-management
Interacting with Medical Directors on challenging cases 
Coordinating care for members 
Making referrals to outside sources
Coordinating services as needed (home health, DME, etc.)
Educating members on disease processes
Encouraging members to make healthy lifestyle changes
Documenting and tracking findings
Managing the members holistically
Utilizing Milliman criteria to determine if patients are in the correct hospital setting
Assist with transition of care from inpatient to home setting
This position will require active and unrestricted Nursing licensure in multiple US States.  Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)  

Required Qualifications:

Active, unrestricted RN licensure in state of Missouri
Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required
3+ years of experience in any clinical setting
Proficient level of experience with Microsoft Word and Excel, and the ability to navigate a Windows environment
Must live within a commutable distance of office Maryland Heights, MO (50 minutes or 50 miles)
Ability to perform in a fast paced, high demand environment
Adapts well to frequent change in process

Preferred Qualifications:

Bachelor's Degree in Nursing
Previous Case Management or other managed care experience
Acute care experience
Experience with chronic diseases / chronically ill patients
Certified Case Manager (CCM) 
Experience working with the Medicare patient population
AARP experience
Bilingual Skills (fluency in Spanish / English)
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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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. 
 
KeyWords:  Registered Nurse, RN, Case Manager, AARP, elderly, geriatric, CCM, bilingual, managed care, MCO, insurance, Maryland Heights, MO, Missouri