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Richardson

    Telephonic RN Case Manager - Richardson, TX, United States - UnitedHealth Group Inc

    UnitedHealth Group Inc
    UnitedHealth Group Inc Richardson, TX, United States

    2 weeks ago

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    Description
    5,000 Sign On Bonus for External Candidates
    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.

    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.

    These roles identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD.

    Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating).

    This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members. Includes Health Coach, Health Educator, and Health Advocate roles that require an RN. *Employees in jobs labeled with 'SCA' must support a government Service Contract Act (SCA) agreement. work from home 2 days a week and in the office the remaining 3 days per week. Work schedule is Monday-Friday, business hours for three days then 11am - 8pm for two days a week.
    Make outbound calls and receive inbound calls to assess members' current health status

    • Provide patient education to assist with self-management
    • 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
    • Works with less structured, more complex issues
    • 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'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.
    Undergraduate degree or equivalent experience

    • 3+ years of experience in a hospital, acute care or direct care setting
    • Ability to support a Hybrid work schedule, including consumer centric hours (11a - 8p CST) two days a week
    • Ability to type and have the ability to navigate a Windows based environment
    Case management experience

    • Experience or exposure to discharge planning
    • Experience in discharge planning or utilization review
    • Experience in a leadership, account management or client facing role
    • Background in managed care

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.

    Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.

    We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.


    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.
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