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) This role will be a Telephonic RN Case Manager within Optum's Diabetes Navigator Program. This position has the potential to telecommute within 1 year (dependent on individual performance, business needs, availability of business internet service capacity in area of residence, etc.). This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG) Primary Responsibilities: Making outbound calls to providers in the Diabetes Health Navigator program Identifying gaps or barriers in treatment plans to close STARS gaps Providing patient education to assist with self-management Interacting with Medical Directors, Pharmacists, and Social Workers, Internal teamsCoordinating care for members Making referrals to outside sources Documenting and tracking findings Managing the members holistically
Required Qualifications:Active, unrestricted RN licensure in your state of residence3+ years of experience in any clinical setting Bilingual skills (fluency in Spanish/English) Intermediate / proficient level of experience with MS Office applications Must be willing / able to obtain CCM within 2 years of employment Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required (Application fees and filing costs paid for by UHG) Preferred Qualifications: Bachelor's Degree in Nursing Experience working with diabetes patients Clinical Diabetes treatment experience Previous Case Management or other managed care experience Certified Case Manager (CCM) Experience working with the Medicare guidelines and regulations 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: RN, registered nurse, case manager, telephonic, Medicare, diabetes, disease management, high risk, bilingual, Spanish, telephonic, Miami, South Florida, FL
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.