Telephonic RN Case Manager

3 days ago


Richardson, Texas, United States UnitedHealth Group Full time
Telephonic RN Case Manager 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 RN Case Manager, you'll play a critical role in supporting our diverse member population with education, advocacy, and connections to the resources they need to feel better and get well.

Key Responsibilities:
  • Make outbound calls and receive inbound calls to assess members' current health status
  • Make referrals to outside sources
  • Identify gaps or barriers in treatment plans
  • Provide patient education to assist with self-management
  • Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
  • Support members with condition education, medication reviews, and connections to resources such as Home Health Aides or Meals on Wheels
  • Work with less structured, more complex issues
  • Serve as a resource to others
Requirements:
  • Undergraduate degree or equivalent experience
  • Current, unrestricted RN license in the state of employment
  • 3+ years of experience in a hospital, acute care, or direct care setting
  • Ability to support a Hybrid work schedule, including consumer-centric hours (11a - 8p CST) two days a week
  • Ability to type and have the ability to navigate a Windows-based environment
Preferred Qualifications:
  • BSN
  • Certified Case Manager (CCM)
  • Case management experience
  • Experience or exposure to discharge planning
  • Experience in discharge planning or utilization review
  • Experience in a telephonic role
  • Experience in a leadership, account management, or client-facing role
  • Background in managed care

We're committed to creating a culture of performance that's driving the health care industry forward. If you're passionate about making a difference in the lives of others and have the skills and experience to succeed in this role, we encourage you to apply.



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