Telephonic RN Case Manager - West Coast - Full-time / Part-time

There’s an energy and excitement here, a shared mission to improve the lives of others as well as our own. A passion for excellence you won’t find anywhere else. We ask tough questions. We push ourselves and each other to find smarter solutions. The result is a culture of performance that’s driving the health care industry forward. Nursing here isn’t for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work.(sm)
 
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

Required Qualifications:


Current, unrestricted RN license in state of residence
3+ years of experience as a Registered Nurse in a hospital setting, acute care or direct care experience or as a Case Manager for an insurance company
Basic level of experience with Microsoft Word, with the ability to navigate a Windows based environment
Must be willing / able to obtain CCM within 2 years of employment
 
Preferred Qualifications:

BSN
Managed Care experience
Case Management experience
Certified Case Manager (CCM)
Certified Diabetes Educator
Experience with discharge planning
Experience in home health
Experience with the chronic / complex population (i.e. Heart Failure)
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, 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:  RN, Nurse, Case Manager, Case Management, field based, BSN, home health, chronic, complex, Phoenix, Tucson, AZ, Arizona, Denver, CO, Colorado, Albuquerque, NM, New Mexico, Boise, ID, Idaho, Portland, OR, Oregon, Las Vegas, NV, Nevada