Telephonic RN Case Manager - Kidney Resource Services - Telecommute in Hawaii

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**$3,500 Sign-on Bonus for External Candidates**

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care.

As a Telephonic RN Case Manager for the Kidney Resource Services program, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. You will also be responsible for providing health education, coaching and treatment decision support for members.

***The schedule for this position includes some evening hours where you will be expected to work until approximately 8pm, based on member availability. For example: 11am-8pm OR a split shift 8am-12pm and then 4pm-8pm***

Primary Responsibilities:
  • 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 and services as needed (home health, DME, etc.)
  • Educating members on disease processes
  • Encouraging members to make healthy lifestyle changes
  • 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
  • Documenting and tracking findings


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 licensures (application fees and filing costs paid for by UHG).

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:
  • Active, unrestricted RN license in the state of Hawaii
  • Permanent residence in the state of Hawaii
  • Multiple state licensures (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required
  • 2+ years of RN experience in a hospital, acute care, or direct care setting, or experience as a Telephonic Case Manager for an insurance company
  • Renal, Chronic Kidney Disease or Dialysis Care experience as a main focus of your job
  • Computer proficiency utilizing MS Office (Word, Excel, PowerPoint and Outlook), including the ability to type and talk at the same time while navigating a Windows environment
  • Must reside in a location that can receive a UnitedHealth Group approved high speed internet connection or can leverage existing high-speed internet service
  • Access to dedicated workspace from home for in home office set up
  • Ability to work schedule listed

Preferred Qualifications:
  • BSN
  • Certified Case Manager (CCM)
  • ICU, Cardiology or Critical Care experience
  • Diabetic educator experience
  • Solid working knowledge of hypertension and/or diabetes
  • Experience with discharge planning
  • Telephonic case management experience


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

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*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: Telephonic RN Case Manager, Kidney Resource Services, RN, Nurse, Case Manager, Telephonic, Dialysis, Nephrology, Kidney, Renal, Diabetes, Diabetic, Medicare, Geriatric, High Risk, Telecommute, Work From Home, Virtual, Telecommute, Telecommuting, Telecommuter, Hawaii

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