Optum
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.
As a part of our continued growth, we are recruiting for a RN Case Manager for the Orthopedic Health Support team. In this role you will be responsible for the clinical management across the continuum of care for members with musculoskeletal (neck, shoulder, back, hip and knee) conditions. Schedule: Monday – Friday, Normal business hours in your time zone, also includes 2 nights per month until 8pm You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.
Required Qualifications: Current, unrestricted RN license in your state of residence Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses 3+ years of recent orthopedic experience where working with orthopedic patients was your main responsibility working with neck, shoulder, back, hip and knee conditions educating patients/members on physical therapy, occupational therapy, pre and post operations Computer proficiency including the ability to type and talk at the same time and to navigate within Microsoft Windows Access to high-speed internet from home (Broadband cable, Fiber or DSL) Dedicated workspace from home Preferred Qualifications: Compact RN License 7+ years of Orthopedic experience working with neck, shoulder, back, hip and knee conditions as the main part of your job Experience with pain management both acute and chronic Physical therapy experience Occupational therapy experience Experience with weight management Conservative orthopedics experience Surgical orthopedics experience
Provide information to members to facilitate an improved care experience which includes illustrating cost savings, highest quality pairing of a center of excellence and surgeon, and ensuring a seamless administrative experience Telephonic Case Management which includes assessments in the pre-operative and post-operative phases of Orthopedic surgery to ensure positive outcomes Identifying gaps in treatment plans and coordinate ongoing care with providers Provide patient education to encourage self-management and healthy lifestyle change Works with minimal guidance; seeks guidance on only the most complex tasks Coaches, provides feedback, and guides others Acts as a resource for others with less experience
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