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in Greensboro, NC

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Hours Full-time, Part-time
Location Greensboro, NC
Greensboro, North Carolina

About this job

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)


 


This position will be eligible for telecommuting in the Greensboro, NC area. 

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


  • Utilizing Milliman criteria to determine if patients are in the correct hospital setting


  • Making "welcome home" calls to ensure that discharged member receive the necessary services and resources

Requirements

Required Qualifications:




  • Current, unrestricted RN license in the State

  • 2+ years experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company

  • Must live within a commutable distance of the Greensboro, NC office

 


 Preferred Qualifications:




  • Fluency in Spanish and English is highly desireable

  • Bachelor's Degree

  • RN license in any other state

  • Experience working with a geriatric population

  • Diverse clinical background

  • A background in managed care

  • Case Management experience and/or Certified Case Manager (CCM)

  • Experience in utilization review, concurrent review and/or risk management

  • Strong organizational skills and multitasking abilities will be keys to success

  • Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment

 


 


Here's the idea. We built three focused businesses organized around one giant objective; make health care 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 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. It's a culture of optimism that's not like any place you've ever worked. OptumRx, OptumInsight, OptumHealth. Three 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, national origin, protected veteran status, or disability status.




UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.