Telephonic RN Case Manager - Hybrid - Richardson, TX - Case Management
Company: UnitedHealth Group Inc
Location: Richardson
Posted on: April 22, 2024
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Job Description:
Telephonic RN Case Manager - Hybrid - Richardson, TX
$5,000 Sign On Bonus for External Candidates
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together.
We're making a solid connection between exceptional patient care
and outstanding career opportunities. The result is a culture of
performance that's driving the health care industry forward. As a
Telephone Case Manager RN with UnitedHealth Group, you'll support a
diverse member population with education, advocacy and connections
to the resources they need to feel better and get well. Instead of
seeing a handful of patients each day, your work may affect
millions for years to come. Ready for a new path? Apply today!
Positions in this function require various nurse licensure and
certification based on role and grade level. These roles identify,
coordinate, or provide appropriate levels of care under the direct
supervision of an RN or MD. Function is responsible for clinical
operations and medical management activities across the continuum
of care (assessing, planning, implementing, coordinating,
monitoring and evaluating). This includes case management,
coordination of care, and medical management consulting. Function
may also be responsible for providing health education, coaching
and treatment decision support for members. Includes Health Coach,
Health Educator, and Health Advocate roles that require an RN.
*Employees in jobs labeled with 'SCA' must support a government
Service Contract Act (SCA) agreement. Generally work is
self-directed and not prescribed.
Hybrid work model; work from home 2 days a week and in the office
the remaining 3 days per week. Work schedule is Monday-Friday,
business hours for three days then 11am - 8pm for two days a
week.
Primary Responsibilities:
* Make outbound calls and receive inbound calls to assess members'
current health status
* Make referrals to outside sources
* Identify gaps or barriers in treatment plans
* Provide patient education to assist with self-management
* Provide a complete continuum of quality care through close
communication with members via in-person or on-phone
interaction
* Support members with condition education, medication reviews and
connections to resources such as Home Health Aides or Meals on
Wheels
* Works with less structured, more complex issues
* Serves as a resource to others
This is high volume, customer service environment. You'll need to
be efficient, productive and thorough dealing with our members over
the phone. solid computer and software navigation skills are
critical. You should also be solidly patient-focused and adaptable
to changes
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:
* Undergraduate degree or equivalent experience
* Current, unrestricted RN license in the state of employment
* 3+ years of experience in a hospital, acute care or direct care
setting
* Ability to support a Hybrid work schedule, including consumer
centric hours (11a - 8p CST) two days a week
* Ability to type and have the ability to navigate a Windows based
environment
Preferred Qualifications:
* BSN
* Certified Case Manager (CCM)
* Case management experience
* Experience or exposure to discharge planning
* Experience in discharge planning or utilization review
* Experience in a telephonic role
* Experience in a leadership, account management or client facing
role
* Background in managed care
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission.
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.
Keywords: UnitedHealth Group Inc, Plano , Telephonic RN Case Manager - Hybrid - Richardson, TX - Case Management, Executive , Richardson, Texas
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