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. We're making a strong 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 Telephonic RN Case Manager, you'll support a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well by outreaching post discharge or outreaching with a disease specific focus. 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! This is a high volume, member focused environment. You'll need to be efficient, productive, and thorough working with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Hours: Monday - Friday: 8:00 am to 5 pm in local time zone and may require one evening per week Primary Responsibilities: • Provide a complete continuum of quality care through close communication with members via outbound calls • Manages and coordinates care and services with interdisciplinary care team to identify and close gaps or barriers in treatment plans • Engages and collaborate with patient and/or caregiver to develop individualized Care Plan. • Supports members with health education, medication reviews, and referrals to community resources. • Acts as an advocate for the patient • Maintains HIPAA compliance at all times This position requires an unrestricted compact nursing license and may require additional licensing 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 directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Optum Home & Community Care is part of UnitedHealth Group and provides telephonic case management services to help members navigate the health care system and access support services. As an RN Case Manager, you would assess members' health status, identify gaps in treatment plans, establish care goals, coordinate with multidisciplinary teams including mental health clinicians, provide patient education and coaching, make referrals to community resources, and facilitate transitions between care settings—primarily through phone calls in a high-volume customer service environment.
