Telephonic Case Manager RN - Telecommuter - West Coast at Honolulu

Job Description

Want to learn more before applying for this role? Click here to view the Realistic Job Preview: Telephonic_Case_Manager_Optum.pdfIn this position you will perform telephonic high risk case management for our Dual/Special Needs plans with Medicare/Medicaid members. This is a work from home position, requiring high speed internet access in your home. You will support our members in the western region of the Unites States, primarily in Arizona and Hawaii. Prefer candidate to be located in western region of United States.Responsibilities for Telephonic Case Managers include but are not limited to: 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 casesCoordinating care for membersMaking referrals to outside sourcesCoordinating services as needed (home health, DME, etc.)Educating members on disease processesEncouraging members to make healthy lifestyle changesDocumenting and tracking findingsUtilizing Milliman criteria to determine if patients are in the correct hospital settingMaking welcome home calls to ensure that discharged member receive the necessary services and resources

Job Requirements

Requirements:Current, unrestricted RN license in your state of residence 3+ years of experience in a hospital setting, acute care, direct care, Med Surg, ICU or critical careexperience Basic level of experience with Microsoft Word, with the ability to navigate a Windows environmentAccess to high speed internetAbility to type and talk at the same time Additional Assets Preferred:Bachelors DegreeA background in managed careCase Management experienceExperience in home healthCertified Case Manager (CCM)Discharge Planning, utilization review, concurrent review or risk managementOptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.At OptumHealth, you will perform within an innovative culture thats focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact thats greater than youve ever imagined.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.Key Words: med surg, icu, critical care, RN, telecommuter, telecommute, case manager, registered nurse
Country: USA, State: Hawaii, City: Honolulu, Company: UnitedHealth Group.