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Description
Description:
- Case Manager- Work at Home Opportunity!!! (370031)
Job Description
Case Manager- Work at Home Opportunity!!!-370031
Description
Want to learn more before applying for this role? Click here to view the Realistic Job Preview: Telephonic_Case_Manager_Optum.pdf
The responsibilities for Case Managers include:
-Making outbound calls to assess members'' current health status
-Identifying gaps or barriers in treatment plans
-Providing patient education to assist with self management
-Interacting with Medical Directors on challenging cases
-Coordinating care for members
-Making referrals to outside sources
-Coordinating services as needed (home health, DME, etc)
-Educating members on disease processes
-Encouraging members to make healthy lifestyle changes
-Documenting and tracking findings
-Utilizing Milliman criteria to determine if patients are in the correct hospital setting
-Making ''welcome home'' calls to ensure that discharged member receive the necessary services and resources
-Generally work is self-directed and not prescribed.
-Works with less structured, more complex issues.
-Serves as a resource to others.
This is a work at home opportunity with a work schedule of day shift hours, Mon- Fri.
OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
At OptumHealth, you will perform within an innovative culture that''s focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that''s greater than you''ve ever imagined.
Qualifications
Requirements for this postion include the following:
-Current, unrestricted RN license in the State
-2+ years experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
-Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
Additional Assets Preferred:
-Bachelor''s Degree
-Bi-lingual in the Spanish language
-A background in managed care
-Case Management experience
-Certified Case Manager (CCM)
-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
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Job
Case Management
Primary Location
US-TX-Houston
Organization
CS Health Management Solutions
Schedule
Full-time
Number of Openings
3
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Details:
Job Id:
32439840
Posted / Updated:
1/28/2012 3:57:54 AM
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