Telephonic RN Case Manager - Remote from a Compact State
About the position Responsibilities • 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 cases • Coordinating care for members and services as needed (home health, DME, etc.) • Educating members on disease processes • Encouraging members to make healthy lifestyle changes • Utilizing Milliman criteria to determine if patients are in the correct hospital setting • Making 'welcome home' calls to ensure that discharged members receive the necessary services and resources • Documenting and tracking findings Requirements • Active, unrestricted RN license in a compact state • 3+ years of clinical experience (any setting) • Computer proficiency utilizing MS Office (Word, Excel, PowerPoint and Outlook) • Ability to type and talk at the same time while navigating a Windows environment • Reside in a location that can receive a UnitedHealth Group approved high speed internet connection • Access to dedicated workspace from home for in-home office setup Nice-to-haves • BSN • Certified Case Manager (CCM) • ICU, Cardiology or Critical Care experience • Telephonic case management experience • Experience with discharge planning • Experience in a remote position • Bilingual - English/Spanish • Solid working knowledge of chronic medical diagnoses (CHF, COPD, diabetes, etc.) Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job