Onsite / Telecommuting Case Manager RN - NY - 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)
 
*** If Onsite, this Case Manager will be traveling between NYU and Mt. Sinai ***
 
Primary Responsibilities:


Educating and supporting the family unit through telephonic assessment and expert clinical interventions

Evaluating delays in care, facilitating discharge planning, and arranging for alternative care services to facilitate timely and appropriate discharge

Effectively using established operating systems to document activities and ensure consistent program clinical practices

Collaborating with hospital staff and other clinical programs to enhance the quality and efficiency in healthcare delivery

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

Required Qualifications:

Current, unrestricted RN license in your State of residence
3+ years of high risk level II or level III NICU care experience
Superior communication skills
Proficiency utilizing Microsoft Word, with the ability to navigate a Windows environment
Preferred Qualifications:

Bachelor's Degree
A background in managed care
Case Management experience is strongly preferred
Certified Case Manager (CCM)
Experience/exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management
Proficiency using MS Excel
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: 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.

 
 
Job Keywords: Case Management, Onsite Case Management, NICU, RN, New York, NY