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 inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
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. As an RN Telephonic Nurse Case Manager, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring, and evaluating. You will also be responsible for providing health education, coaching and treatment decision support for members. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. Monday-Friday business hours as you take on some tough challenges in a fast paced environment. Hours: Monday through Friday 8AM -5PM within your local time zone with one night a week until 7PM
Active, unrestricted RN license in a compact state Compact License OR Compact Equivalent and ability to obtain additional licenses if needed 3+ years of clinical experience within Nephrology/ Dialysis setting Computer proficiency utilizing MS Office (Word, Excel, PowerPoint, and Outlook), including the ability to type and talk at the same time while navigating a Windows environment Reside in a location that can receive a UnitedHealth Group approved high speed internet connection or can leverage existing high – speed internet service Access to dedicated workspace from home for in home office set up Preferred Qualifications: BSN Certified Case Manager (CCM) Telephonic case management experience Experience with discharge planning Experience in a remote position
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 and services as needed (home health, DME, etc.) Educating members on disease processes Encouraging members to make healthy lifestyle changes Making “welcome home” calls to ensure that discharged member receive the necessary services and resources Documenting and tracking findings
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