Transplant Nurse Case Manager RN - Telecommute Downers Grove, IL

    UnitedHealth Group Inc.
    Downers Grove, IL 60515
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    Job Description

    Our customer service & claims teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service and across our global economy. Join us and find out why this the place to do your life's best work.SM

    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)

    As a Telephonic Transplant Nurse Case Manager RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need. This is a telecommute / work from home position.

    Shift: Monday - Friday from 8am - 5 pm. Shift requires some days to be worked until 7pm as needed.

    You'll enjoy the flexibility to telecommute* from anywhere within the Central or Eastern Time Zones as you take on some tough challenges.

    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
    This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:
    • Current, unrestricted RN license in your state of residence
    • 2+ years of experience as an RN in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
    • 1+ year of Transplant experience working as an RN
    • Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
    • Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required
    • Access to high speed internet from home
    • A dedicated workspace from home
    Preferred Qualifications:
    • Bachelor's Degree or greater
    • Experience working in an ICU or Oncology setting
    • A background in managed care (MCO) or insurance setting
    • Case Management experience
    • Certified Case Manager (CCM)
    • Experience working with bone marrow transplants
    • Experience/exposure with discharge planning
    • Experience in utilization review, concurrent review and/or risk management
    • Strong organizational skills and multitasking abilities will be keys to success
    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)

    *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

    Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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: Registered Nurse, RN, Transplant, ICU, Post Op, Oncology, Dialysis, Case Manager, Care Coordinator, Virtual, Work from Home, Telecommute, Telecommuting, Telecommuter, Work at Home

    Posting ID: 588102230Posted: 2020-11-19