UnitedHealth Group
A job shouldn’t define you. It should reflect you.
Glenda
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Nurse Practitioner
For nurses who prefer to blaze their own career path.

Nursing careers at UnitedHealth Group are anything but ordinary. There’s an energy and excitement here, a shared mission to improve the lives of others as well as our own. A passion for excellence you won’t find anywhere else. We ask tough questions. We push ourselves and each other to find smarter solutions. The result is a culture of performance that’s driving the health care industry forward. Nursing here isn’t for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work.SM

Telephonic RN Case Manager, Healthy First Steps- Telecommute

Job Description:

Telephonic RN Case Manager, Healthy First Steps- Telecommute


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 and help people live healthier lives while doing your life's best work.


Want to learn more before applying for this role? Click here to view the Realistic Job Preview: Telephonic_Case_Manager_Optum.pdf


***This is a Telecommuting position - role requires the ability to commute in to nearest office in Overland Park, KS***


Responsibilities for Case Managers include:


-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


-Making referrals to outside sources


-Coordinating services as needed (home health, DME, etc.)


-Educating members on disease processes


-Encouraging members to make healthy lifestyle changes


-Documenting and tracking findings


 -Utilizing Milliman criteria to determine if patients are in the correct hospital setting


 -Making  calls to ensure that discharged member receive the necessary services and resources


Job Requirements:

Basic Requirements:


-Current, unrestricted RN license


-Minimum of 2 years Maternal Child Health experience in a hospital setting, acute care, direct care experience or experience as a telephonic


-Proficient with Microsoft Word, Outlook, and Internet


-Telecommuting position- role requires high speed internet access in the home (cable or DSL - no satellite) AND the ability to commute in to nearest UHC office in Overland Park, KS as requested


Additional Assets Preferred:


-Bachelor's Degree


-A background in Managed Care


-Case Management experience


-Case Manager for an insurance company


-Certified Case Manager (CCM) (or must obtain within 30 months of hire)


-Experience/exposure with discharge planning


-Strong organizational skills and multitasking abilities will be keys to success



UnitedHealth Group is working to create the health care system of tomorrow.


Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.


Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.


Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.


Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V


UnitedHealth 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: RN, Nurse, Registered Nurse, Case Manager, CM, CCM, Pediatrics, Maternal child, NICU, Ped's, KS, Overland Park



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Job Category: Nurse
Insurance
Health Care
Job Reference Code: UHG-552867-1
Position Type: Full-Time
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  • Telephonic RN Case Manager, Healthy First Steps- Telecommute @ UnitedHealth Group

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