Telephonic Nurse Case Manager RN

2 weeks ago

Cheektowaga NY USA, United States UnitedHealth Group Inc. Full time
Telephonic Nurse Case Manager RN Job Description

At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Telephonic Nurse Case Manager RN, you'll play a critical role in delivering care and connecting people with the resources they need to feel their best.

Key Responsibilities:
  • Make outbound calls to assess members' current health status and identify gaps or barriers in treatment plans.
  • Provide patient education to assist with self-management and encourage healthy lifestyle changes.
  • Interact with Medical Directors on challenging cases and coordinate care for members.
  • Make referrals to outside sources and coordinate services as needed.
  • Document and track findings, utilizing Milliman criteria to determine if patients are in the correct hospital setting.
  • Make 'welcome home' calls to ensure that discharged members receive the necessary services and resources.
Requirements:
  • Active, unrestricted RN license in the State of New York.
  • Multiple state licensure (in addition to Compact License if applicable) OR the ability to obtain multiple state nursing licenses.
  • 3+ years of RN experience in a hospital setting, acute care, direct care, or as a Case Manager at an insurance company.
  • Computer proficiency, including navigating a Windows environment, using MS Outlook, and creating, editing, saving, and sending documents in MS Word.
  • Ability to work Monday - Friday: 3 days/week 8 am - 5 pm and 2 days/week 11 am - 8 pm.
  • Ability to work onsite in our Cheektowaga, NY office for the first 6-12 months.
  • Access to install secure, high-speed internet and a dedicated workspace at home.
Preferred Qualifications:
  • Bachelor's degree.
  • Certified Case Manager (CCM).
  • Home health experience.
  • Managed care experience.
  • Case management experience.
  • Experience with/exposure to discharge planning.

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life, and we're committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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