- Make outbound calls and receive inbound calls to assess members' current health status
- Make referrals to outside sources
- Identify gaps or barriers in treatment plans
- 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
- Serves as a resource to others
- Undergraduate degree or equivalent experience
- Current, unrestricted RN license in the state of employment
- 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
- BSN
- Certified Case Manager (CCM)
- Case management experience
- Experience or exposure to discharge planning
- Experience in discharge planning or utilization review
- Experience in a telephonic role
- Experience in a leadership, account management or client facing role
- Background in managed care
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Case Manager
3 weeks ago
Babich & Associates Richardson, United StatesOverview: · As a Personal Injury Case Manager based in Richardson, Texas, you will play a crucial role in managing and supporting personal injury cases within a legal setting. Your responsibilities will involve client communication, case coordination, medical records management, ...
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Field Case Manager
2 weeks ago
UnitedHealth Group Richardson, United StatesPerform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as n. H Predict, n. H Outcome, Inter. Qual and CMS criteria, upon admission to SNF and periodically through the patient stays Case Manager, Manager, Medica ...
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Telephonic RN Case Manager
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UnitedHealth Group Inc Richardson, TX, United States5,000 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 b ...
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Case Manager
3 weeks ago
Jonathan's Place Garland, United StatesJonathan"'s Place is accepting applications for a full-time RESET Emergency Shelter Case Manager, a residential program caring for female minor victims of sex trafficking. This position is responsible for coordination and implementation of comprehensive services for all clients. ...
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Clinic Nurse Medical Case Manager
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Travelers Insurance Richardson, United StatesWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture ...
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Medical Case Manager
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Injury Management Organization, Inc Plano, United StatesJob Description · Job DescriptionWorkers Comp RN Certified Network Case Manager · MUST RESIDE IN THE DALLAS, TX AREA · BI-LINGUAL ENGLISH/SPANISH PREFERRED · RN preferred - REQUIRES Certification in Case Management, i.e., CCM, CRN, CDMS, CRC, COHN, etc. · Full time - hybrid sched ...
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Case Manager
2 weeks ago
ProPivotal Staffing Dallas, United StatesCase Manager (Remote in Massachusetts ONLY) - $45/hr · This position is a fully remote contract role available exclusively to candidates who reside in Massachusetts. · We are seeking a Clinical Care Manager for a remote, contract position offering $45/hr, exclusively for candidat ...
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Case Manager
1 day ago
Baylor Scott & White Institute for Rehabilitation Dallas, United StatesBaylor Scott & White Institute for Rehabilitation · Dallas, TX · Neuro Transitional Rehabilitation Center · Case Manager (RN, LMSW, PT, OT, SLP) · Hours: Monday-Friday / 7:30AM - 4:30PM · Full Time · Minimum Salary: $70,000 · Sign on bonus: $5,000 · We are currently seeking a Fu ...
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Home Health RN Case Manager
2 weeks ago
Allegiance Home Health Services LLC Plano, United States Full timeAmcare Pro Home Health is a mid-size home health care company with offices in East Texas and Dallas. The Dallas office is a stable operation & census; including a well-seasoned office and field staff. We are currently interviewing for a Full Time/PRN Home Health RN Case Manager p ...
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Case Manager
2 weeks ago
Jonathan's Place Garland, United StatesJonathan"'s Place is accepting applications for a full-time RESET Emergency Shelter Case Manager, a residential program caring for female minor victims of sex trafficking. This position is responsible for coordination and implementation of comprehensive services for all clients. ...
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Claims Case Management Team Leader
1 week ago
Guardian Life Plano, United States Full timeThe Claims Case Management Team Leader is responsible for leading a team of Absence Management Case Managers to get results within their team and the organization. The Team Leader will serve as a primary resource and provide direction to team members by setting objectives, commu ...
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Field Nurse Case Manager
1 week ago
Sanarte Case Management LLC Garland, United StatesJob Description · Job DescriptionBenefits:Bonus based on performance · Competitive salary · Dental insurance · Health insurance · Paid time off · Role · Sanarte needs field nurse case managers in the Dallas - Ft. Worth metroplex. Full-time, Part-time, and contract opportunities a ...
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Field Nurse Case Manager
1 week ago
Sanarte Case Management LLC Garland, United StatesJob Description · Job DescriptionRole · Sanarte needs field nurse case managers in the Dallas - Ft. Worth metroplex. Full-time, Part-time, and contract opportunities are immediately available. Our Nurse Case Managers are responsible for providing comprehensive case management ser ...
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Rn Case Manager Hospice
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Venarks Hospice Inc. Richardson, United StatesOverview: · **Duties**: · - Coordinate patient care plans and provide nursing care · - Conduct assessments to identify patient needs and create individualized care plans · - Collaborate with healthcare professionals(IDT) to ensure quality patient outcomes · - Monitor patient dise ...
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2 weeks ago
Nexus Health Systems Dallas, United StatesThe Case Manager is responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team. The Case Manager facilitates communication and coordination between the health care team members in ...
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Case Manager
2 weeks ago
Nexus Health Systems Ltd Dallas, United StatesJob Description · Job DescriptionThe Case Manager is responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team. The Case Manager facilitates communication and coordination betwee ...
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Telephonic Rn Case Manager
34 minutes ago
Optum Richardson, United StatesOptum 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 ...
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Case Manager
2 weeks ago
Select Medical Dallas, United StatesOverview · Baylor Scott & White Institute for Rehabilitation · Dallas, TX · Neuro Transitional Rehabilitation Center · Case Manager (RN, LMSW, PT, OT, SLP) · Hours: Monday-Friday / 7:30AM - 4:30PM · Full Time · Minimum Salary: $70,000 · Sign on bonus: $5,000 · We are cur ...
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Case Manager
2 weeks ago
Prism Health North Texas Dallas, United StatesJob Description · Job DescriptionOur Core ValuesThe culture at Prism Health North Texas is built on our shared Core Values. We make hiring, firing, promotion and performance review decisions based on these values and behaviors, so it is important that you also share these Core Va ...
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Case Manager
2 days ago
Prism Health North Texas Dallas, United StatesJob Description · Job DescriptionOur Core ValuesThe culture at Prism Health North Texas is built on our shared Core Values. We make hiring, firing, promotion and performance review decisions based on these values and behaviors, so it is important that you also share these Core Va ...
Telephonic RN Case Manager - Richardson, TX, United States - UnitedHealth Group Inc
Description
Telephonic RN Case Manager - Hybrid - Richardson, TX
$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.
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 todayPositions in this function require various nurse licensure and certification based on role and grade level. 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. Generally work is self-directed and not prescribed.
Hybrid work model; work from home 2 days a week and in the office the remaining 3 days per week.
Primary Responsibilities:
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:
Preferred Qualifications:
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. Candidates are required to pass a drug test before beginning employment.
Telephonic RN Case Manager professionals in Richardson
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Mahammad Abasgulu
Sr SDET | Test Automation Engineer
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Mandy Moore
Nurse Anesthesiology