Telephonic Case Manager

1 week ago


Phoenix, United States UnitedHealth Group Full time

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 Telephonic 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

Primary Responsibilities:

  • Make outbound calls to assess members‘ current health status
  • Identify gaps or barriers in treatment plans
  • Provide patient education to assist with self-management
  • Interact with Medical Directors on challenging cases
  • Coordinate care for members
  • Make referrals to outside sources
  • Coordinate services as needed (home health, DME, etc.)
  • Educate members on disease processes
  • Encourage members to make healthy lifestyle changes
  • Document and track findings
  • Make Welcome Home calls to ensure that discharged member receive the necessary services and resources

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:

  • Current, unrestricted RN license in Arizona
  • Multiple state licensure - Compact License
  • Certified Case Manager (CCM) or the ability to obtain certification within 18 months of employment
  • 3+ years of experience as a Registered Nurse in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
  • Ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word
  • Private home office and access to high-speed Internet (Fiber Optic/Cable)
  • Based in the Phoenix, Arizona area; and be able to come to the local office for meetings as needed, based on the needs of the business

Preferred Qualifications:

  • Bachelor‘s Degree
  • Certified Case Manager (CCM)
  • Case management experience
  • Disease management experience
  • Discharge planning experience
  • Experience in utilization review, concurrent review and/or risk management
  • 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 employers 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



  • Phoenix, Arizona, United States International SOS Full time

    We are seeking a skilled and experienced Medical Case Manager to join our global healthcare operations team at International SOS in Phoenix, AZ. This role will provide comprehensive assistance by triaging medical concerns, determining the needed level of care, and effectively communicating with stakeholders across various business sectors worldwide.As a...

  • Rn Case Manager

    1 week ago


    Phoenix, United States Optum Full time

    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. Join us to start Caring. Connecting. Growing together. The Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) is a direct clinical liaison between...


  • Phoenix, Arizona, United States APN Staffing & Employment Solutions Full time

    About the JobWe are seeking a skilled Licensed Practical Nurse (LPN) to join our team as a Medical Case Manager for our TB Clinic. This is a Monday-Friday, 10am-6pm position located in Phoenix, AZ.Job Summary:Work with a team of RN and LPN case managers to manage active and latent tuberculosis cases.Review medical records, request records, make needed calls...


  • Phoenix, United States UnitedHealth Group Full time

    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. Join us to start **Caring. Connecting. Growing together.** The Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) is a direct clinical liaison between...

  • Case Manager

    2 weeks ago


    Phoenix, United States LHH Recruitment Solutions Full time

    Job DescriptionJob DescriptionJob Title: Behavioral Health Case ManagerLocation: On-Site, Phoenix AZ (Openings in Tempe as well)Hours: M – F 8a – 5pPay: $19.52/hr - 27/hr Depending on years of experience (Set tiers)Job Description:We are seeking a compassionate and dedicated Case Manager to join our team. The ideal candidate will have 2+ years of...

  • Case Manager

    3 months ago


    Phoenix, United States Delta-T Group Inc. Full time

    Job DescriptionJob DescriptionLocation: Phoenix, AZ Date Posted: 9/23/2024Category: Case ManagementEducation: Bachelor's DegreeWith over 35 years in business, the Delta-T Group has built a reputation for referring highly qualified professionals for rewarding short and long-term contract opportunities.Our clients are seeking Case Managers all across the...

  • Case Manager

    1 week ago


    Phoenix, United States LHH Recruitment Solutions Full time

    Job DescriptionJob DescriptionLHH Recruitment Solutions is searching for a full-time Case Manager on a Direct Hire basis for a growing client in Phoenix, AZ. Our client is seeking individuals who are highly dynamic and adaptable, empathetic, and committed to addressing the unique challenges faced by their clientele.This is an onsite position and the...


  • Phoenix, Arizona, United States Delta-T Group Inc. Full time

    We are seeking an experienced Case Management Professional to join our team at Delta-T Group Inc. in Phoenix, AZ. As a key member of our staff, you will be responsible for performing intermediate professional work in case management, including assessing client needs, developing and implementing service delivery plans, and coordinating services with other...


  • Phoenix, Arizona, United States Strong Force Staffing Full time

    About the RoleRN Case Manager, Hospice (In-Home)Location Phoenix, AZJob SummaryStrong Force Staffing is seeking a dedicated RN Case Manager for a respected hospice care agency in Phoenix. This critical field role involves direct patient care and comprehensive case management, aiming to enhance end-of-life care and improve patient...

  • Nurse Case Manager

    3 weeks ago


    Phoenix, Arizona, United States International SOS Full time

    Job OverviewWe are seeking a skilled and experienced Nurse Case Manager to join our medical team at International SOS in Phoenix, AZ. This is a challenging opportunity for a Registered Nurse to provide comprehensive case management services to clients worldwide.

  • Case Manager

    1 week ago


    Phoenix, United States Terros Health Full time

    Job DetailsJob Location 51st Avenue 1st Floor - Phoenix, AZPosition Type On-CallEducation Level High School Diploma/GED Travel Percentage Up to 50% Job Shift Day ShiftJob Category Behavioral Health/Social Work Description We are a mission-driven, service-orientated industry leader looking for a Part time, on-call SMI Case...


  • Phoenix, Arizona, United States Banner Health Full time

    Key ResponsibilitiesThis role involves acting in a leadership function with process improvement activities for populations of patients, collaborating with physicians, payers, and other members of the healthcare team, and educating internal members on case management and managed care concepts.In addition, as a Case Management Professional, you will assess...

  • Case Manager

    2 weeks ago


    Phoenix, United States LHH Recruitment Solutions Full time

    Job DescriptionJob DescriptionAs a Case Manager, you will play a vital role in providing essential support to patients facing various serious mental health challenges.Your responsibilities will include:• Meeting with patients on a one-on-one basis to offer compassionate support and guidance. • Facilitating group sessions to foster a supportive...


  • Phoenix, Arizona, United States Orion Placement Full time

    About Our ClientWe are a reputable law firm dedicated to providing exceptional legal services. With offices in Phoenix, AZ, Florida, California, and Washington, D.C., as well as affiliates in many other states, we strive to be among the top attorneys in the nation.Our client treats clients like friends and neighbors, working diligently to understand and meet...

  • Nurse Case Manager

    3 days ago


    Phoenix, Arizona, United States International SOS Full time

    Key ResponsibilitiesCommunicate with clients and providers worldwide to ensure timely and accurate medical assistance through phone and email.Triage incoming calls to assess medical needs and provide appropriate care recommendations.Oversee and manage cases from start to finish, ensuring positive outcomes and client satisfaction.Provide pre-travel and...


  • Phoenix, Arizona, United States UMOM New Day Centers Full time

    UMOM New Day Centers - Housing Case Manager SpecialistSalary: $46,800 - $49,800 per yearAbout the JobWe are seeking a highly motivated and compassionate Housing Case Manager Specialist to join our team at UMOM New Day Centers. As a Housing Case Manager Specialist, you will be responsible for providing direct case management support and advocacy to clients,...


  • Phoenix, United States The Cigna Group Full time

    **Position Scope:** + Manages/coordinates an active caseload of case management cases for Cigna Medicare. Uses clinical knowledge to assess the treatment plan and goals, and identifies gaps in care or risks for readmission or complications. + Establishes patient centric goals and interventions to meet the member's needs + Interfaces with the member,...


  • Phoenix, Arizona, United States CVS Health Full time

    About this Role:This Medical Coordination Specialist will be responsible for coordinating care, support, and education for individuals with complex needs. The ideal candidate will have strong communication and problem-solving skills, as well as experience working in case management or a related field.Key Responsibilities:Conduct comprehensive evaluations of...

  • RN Case Manager

    3 weeks ago


    Phoenix, United States Hospice of the West Full time

    Overview:Our Hospice of the West team is looking for a Full Time Registered Nurse Case Manager (RNCM) that is ready to make a meaningful difference in the lives of the patients and families we serve in and around the Northwest Valley Area!We are looking for a high-energy, compassionate, detail-oriented Registered Nurse (RN) to be a Hospice Case Manager for...


  • Phoenix, Arizona, United States Dickinson Wright Full time

    Trial Litigation Case ManagerJob Summary: We are seeking a highly organized and detail-oriented Trial Litigation Case Manager to join our team at Dickinson Wright. As a key member of our litigation group, you will assist attorneys with case preparation and management, ensuring seamless execution of trial strategies.Compensation: $95,000 - $120,000 per...