Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm)As a Case Manager in our Lisle, IL office, you will telephonically actively engaging consumers to develop the right care plan ensuring the member has the right providers, medications, right care and is optimally self-managing their lifestyle. This is an in office-based position with the potential to work at home after 1 year. The Case Manager RN team provides national coverage for consumers: 7:00am – 8pm Central Standard Time. Work schedule expectations offer some flexibility and include a minimum of 6 consumer hours per week (after 5pm) after training is completed. This position will require active and unrestricted Nursing licensures in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensures. (Application fees and filing costs paid for by UHG) Primary Responsibilities:Making outbound calls and service inbound calls to assess members' current health statusIdentifying gaps or barriers in treatment plans and partner with member to develop an effective care planProviding patient education to assist with self-management of their medical condition or disease processes Collaborate with Medical Directors on high clinical and financial risk cases Collaborate with Pharmacist regarding medication reconciliation, including lower cost alternatives, medication interactionsHolistic multi-disciplinary coordination of care for members, including partnering with Inpatient Case Manager, Physicians, Ancillary providers, Social Workers and other internal and external clinical programsFacilitating referrals to Health programs and additional approved resources to assist members in managing their health more effectivelyEmpower members to actively participate in their health care including healthy lifestyle changesDocumenting and tracking findingsProactively begin readmission prevention and discharging beginning with outreach to the member upon admission to the hospital and post-discharge to ensure the member has the appropriate services and resources in place for a successful recovery
Required Qualifications: Graduate of an Accredited RN program Current, unrestricted RN license in the State of Illinois3+ years recent clinical experience as an RN ( Acute care, Case or Disease management within a hospital setting or Home Health Care/Hospice) or experience as a telephonic Case Manager for an insurance companyMultiple state licensure (in addition to Compact License if applicable) OR ability to obtain multiple state nursing licenses requiredStrong computer skills with the ability to use multiple platforms, navigate within a Windows environment, and a foundational knowledge for Microsoft Office and email. (Ability to create, copy, edit, save & send documents utilizing Word, Excel & Email)Preferred Qualifications: Bachelor's DegreeA background in managed careDisease Case Management experience Experience with Asthma, Diabetes or Heart disease treatment Certified Case Manager (CCM) Experience / exposure with discharge planning Experience or knowledge of utilization review, concurrent review and / or risk management Bilingual Spanish Ability to work in a faced-paced environment, adapt to change, strong organizational skills and multitasking abilities are keys to success Strong communication skills and open to constructive feedback as well as Open Coaching dialogue Independent, team player and critical thinking skills Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do 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: Registered Nurse, RN, case manager, case management, managed care, telephonic, discharge planning, home care, chronic care, Lisle, IL, Illinois
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.