Optum
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 Telephone 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! The schedule for this position is Monday through Friday. Business hours are 8 AM – 8 PM EST. Shifts are a combination of normal business hours and nights until 8 PM. Interested candidates will need to be located in the state of New York to be considered for this opportunity.
Current, unrestricted RN license in the state of New York 3+ years of experience in case management, hospital, acute care or direct care settings Ability to type and navigate a Windows based environment Preferred Qualifications: BSN Certified Case Manager (CCM) Background in managed care Case management experience Experience or exposure to discharge planning Experience in utilization review, concurrent review, or risk management Previous experience in a telephonic role
Make outbound calls and receive inbound calls to assess members’ current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Make referrals to outside sources 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 This is high volume, customer service environment. You’ll need to be efficient, productive, and thorough dealing with our members over the phone. solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes.
Advanced
Basic