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in Phoenix, AZ

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Hours Full-time, Part-time
Location Phoenix, AZ
Phoenix, Arizona

About this job

Case Manager!Telecommute!


 


Are you ready for your next challenge? Discover it here at UnitedHealth Group and help us reinvent the health system. We're going beyond basic care, providing integrated health programs with a member-centric focus. The challenge is ensuring we deliver the right care at the right time. When you join us as a RN Chronic Case Manager, you'll be making a difference in peoples' lives by offering telephonic support and assistance to members seeking health education, program referrals or general health services. You will work with patients to manage their health conditions for ultimate outcomes by taking in-bound calls and placing out-bound calls as dictated by consumer and business needs.

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Whether in-person or over-the-phone, we're working to help others live healthier lives while providing an opportunity for you to do your life's best work.(sm) 


 


The chosen candidate must be available to work 8:30 am-5:00 PM PST along with one evening shift per week until 8:30 PM PST

 
Responsibilities:


 


Enjoy the autonomy and flexibility working from home as a Chronic Case Manager and telephonically case manage a 50-60 complex, catastrophic injury and chronic illness cases. Provide education and support while assisting with care coordination, securing DME, patient insurance issues as well as community resources for the patient

 




  •  Provides health education and coaches consumers on treatment alternatives to assist them in best decision making


  • Supports consumers in selection of best physician and facility to maximize access, quality, and to manage heath care cost


  • Coordinates services and referrals to health programs


  • Prepares individuals for physician visits


  • Assesses and triages immediate health concerns


  • Manages utilization through education


  • Identifies problems or gaps in care offering opportunity for intervention


  • Assists members in sorting through their benefits and making choices


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


  • Special projects, initiatives, and other job duties as assigned

Requirements

Requirements:



  • Current, unrestricted RN licensure

  • Current residence in a compact- multi licensure state 

  • 3 or more years of Clinical RN experience, resulting in excellent clinical skills and judgment

  • 3 or more years case management, home care or hospice experience

  • Strong inbound and outbound telephonic skills

  • Intermediate computer skills (Microsoft Word, Outlook and Internet) with the ability to navigate a Windows environment and the ability to create, edit, save and send documents utilizing Microsoft Word.

  • Understanding of change and ability to move members along the continuum of change

  • Intermediate or expert level of proficiency with being able to assess and identify needs and being able to influence and motivate

  • Conflict management skills


  • Able to work under pressure and appropriately prioritize responsibilities

Additional Preferred Assets:



  • Bachelor's degree in Nursing preferred

  • Coaching and/or decision support experience


  • Previous telephone triage experience

  • CCM


  • Bilingual Spanish




The chosen candidate must be available to work 8:30 am-5:00 PM PST along with one evening shift per week until 8:30 PM PST


Are you ready for an opportunity that can transform your career? Join the Alere Health team as we continue to transform health care and human lives every day.

As part of Optum, Alere Health is building on a tradition of success and creating a future of opportunities. We provide leading edge products and services including condition management, case management, wellbeing, wellness and women's and children's health services for more than 200 regional and local health plans, 89 Fortune 500 employers and 29 states. We're helping improve the lives of more than 22 million people across the US. Now, with our integration into Optum and the larger UnitedHealth Group business organization, our growth and impact is multiplying every day.

If you bring a lot of passion and aspiration to your work, you'll fit in here. In fact, you'll discover opportunity after 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 key words: RN, Nurse, Case Manager, Case Management, CCM, Telecommute, Optum UHG, United Health Group, Home Health, Hospice