Job Description

We're making a strong 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!

If you currently reside in Western Washington, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

* Make outbound calls and receive inbound calls to assess members' current health status
* Partner with the practice's administrative and clinical staff while managing patient appts and data between visits
* Create and maintain a professional and supportive relationship with the patient, provider and office staff
* Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps.
* Activities include data collection, data entry, quality monitoring, upload of images, and chart collection activities
* Identify gaps or barriers in treatment plans
* Provide patient education to assist with self-management
* Make referrals to outside sources
* 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. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

* Associate degree or higher in nursing
* Current, unrestricted RN license in the state of Washington and Oregon licensure within the first 90 days on employment
* Must live within the western Washington area
* 3+ years of experience in a hospital, acute care or direct care setting
* Proficient in Microsoft Suite; Team, Word and Excel
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders.

Preferred Qualifications:

* BSN
* A background in managed care, case management experience
* Certified Case Manager (CCM)
* Experience or exposure to discharge planning
* Experience in utilization review, concurrent review or risk management
* Previous experience in a telephonic role

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)

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

You can learn more about all we are doing to fight COVID-19 and support impacted communities: click here.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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.

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