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.(sm)
As a Telephonic Transplant Nurse Case Manager RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need. This is a telecommute / work from home position.
Friday from 8am
5 pm. Shift requires some days to be worked until 7pm as needed.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. (Mountain or Central time zone preferred) as you take on some tough challenges.
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 welcome home calls to ensure that discharged member receive the necessary services and resources
This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)
Current, unrestricted RN license in your state of residence
2 years of experience as an RN in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required
Access to high speed internet from home
A dedicated workspace from home
Bachelor's Degree or greater
Fluent Spanish Bilingual Speaking skills are strongly preferred
Experience working in an ICU or Oncology setting
1 year of Transplant experience working as an RN
A background in managed care (MCO) or insurance setting
Case Management experience
Certified Case Manager (CCM)
Experience/exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management
Strong organizational skills and multitasking abilities will be keys to success
Answer the call to use your diverse knowledge and experience to make health care work better for our patients. Join us and start doing your life's best work.(sm)
Diversity creates a healthier atmosphere: 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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Spanish, telecommute, Transplant Nurse, Case Manager, RN, Mountain Standard, MST, CST, Central,
Unitedhealth Group Inc.