Telephonic Nurse Case Manager RN - Telecommute in New Jersey
April 14, 2018
Newark, New Jersey
We're making a strong 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, 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 today! If you are located in the state of New Jersey, you will have the flexibility to telecommute* as you take on some tough challenges. ***Must live in the state of New Jersey and this is a telecommute role.*** Primary Responsibilities: Make outbound calls to assess members' current health status Collaborate with Community Health Workers and Behavioral Health Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Interact with Medical Directors on challenging cases including presenting at rounds Coordinate care for members Make referrals to outside sources Coordinate services as needed (home health, DME, etc.) Educate members on disease processes Encourage members to make healthy lifestyle changes Document and track findings Make "welcome home" calls to ensure that discharged member receive the necessary services and resources 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) 10% travel in the state of New Jersey may be required This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes.
Required Qualifications: Current, unrestricted RN license in New Jersey 2+ years of RN experience in a hospital setting, acute care, direct care experience and/or experience as a Case Manager Ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing Microsoft Word and Excel Ability to talk and type proficiently at the same time Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required Reside in the state of New Jersey Must become a Certified Case Manager (CCM) within 30 months of hirePreferred Qualifications: Bachelor's Degree or greater Experience working with populations with special needs A background in managed care Case Management experience Certified Case Manager (CCM) Bilingual - English/Spanish Experience/exposure with discharge planning Experience in utilization review, concurrent review and/or risk management Strong organizational skills and multitasking abilities will be keys to success Answer the call to use your diverse knowledge and experience to make health care work better for our patients. Join us and start doing your life's best work.(sm) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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: Nurse, RN, Case Manager, Care Coordinator, Medicaid, Medicare, Dual SNP, Special Needs, CCM, Certified Case Manager, MCO, Managed Care, Bilingual, Spanish, New Jersey, NJ, Work From Home, Telecommute, Virtual
Internal Number: 758662
About UnitedHealth Group
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.