Transplant Case Manager, RN - 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

Primary Responsibilities:

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  Make outbound calls to assess members' current health status



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  Identify gaps or barriers in treatment plans



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  Provide patient education to assist with self management



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  Interact with Medical Directors on challenging cases



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  Coordinate care for members



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  Make referrals to outside sources



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  Coordinate services as needed (home health, DME, etc.)



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  Educate members on disease processes



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  Encourage members to make healthy lifestyle changes



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  Document and track findings



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



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

Required Qualifications:

• Current, unrestricted RN license in the State of residence


• 1+ years Case Management experience


• 2+ years of clinical nursing experience in a hospital setting, acute care or direct care environment


• Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment, Excel (trainable), Outlook

Preferred Qualifications:

• Bachelor's Degree


• Experience working with Milliman Care Guidelines (MCG)


• Certified Case Manager (CCM)


• Solid organ and/or bone marrow transplant experience


• Understanding of NCQA

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, 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.

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