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in Irvine, CA

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Hours Full-time, Part-time
Location Irvine, CA
Irvine, California

About this job

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 Nurseline 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)
 
View the Realistic Job Preview to learn more aspects of this job. Click here: http://uhg.hr/HealthcareDecisionSupportCoach
 
Primary Responsibilities:


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

Required Qualifications:

Current, unrestricted RN licensure

3+ years of Clinical RN experience, resulting in excellent clinical skills and judgment

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
Preferred Qualifications:

Bachelor's degree in Nursing

Coaching and/or decision support experience

Managed care experience

CCM

Bilingual in Spanish/Vietnamese/Farsi/Korean

Experience working with Medi/Medi
What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining Optum and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting 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, Registered Nurse, Clinical RN, Telephonic, CCM, Bilingual, Irvine, CA, California