Telephonic Nurse Case Manager RN - Telecommute in NJ

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM

Clinical

Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

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
  • Demonstrate an ability to deliver effective telephonic case management in a manner that promotes behavior change for the NJ
  • 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 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.

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:
  • Current, unrestricted RN license in New Jersey
  • 1+ years of paid professional experience working directly with the elderly or physically disabled in an institutional or community setting
  • 2+ years of RN experience in a hospital setting, acute care, direct care experience and/or experience as a Case Manager
  • Experience in long-term care, home health, hospice, public health or assisted living
  • 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
  • Reside in the state of New Jersey
  • 10% travel in the state of New Jersey

Preferred Qualifications:
  • DSNP
  • Bachelor's Degree or greater
  • Certified Case Manager (CCM)
  • Experience working with populations with special needs
  • Experience/exposure with discharge planning
  • Experience in utilization review, concurrent review and/or risk management
  • Experience with government health programs (Medicaid / Medicare)
  • Case Management experience
  • Background in managed care
  • Bilingual - English/Spanish
  • 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.

Careers at UnitedHealthcare Community & State. 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. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do 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, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Virtual, Newark, New Jersey, NJ

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