Telephonic Case Manager - Albany, United States - Optum

Optum

Verified Company

Albany, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

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.
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.

You'll enjoy the flexibility to work remotely
- from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

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 selfmanagement
Make referrals to outside sources
Provide a complete continuum of quality care through close communication with members via inperson or onphone 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.

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:

Current, unrestricted RN license in the state of New York
3+ years of experience in a 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
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

***- At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. 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._