Columbus, Georgia
Weston, Wisconsin
New York, New York
Columbus, Georgia
Fredericksburg, Virginia
Posted: 04-Sep-24
Location: Montgomery, Alabama
Salary: Open
Categories:
Internal Number: 142030004
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. Join us to start Caring. Connecting. Growing together.
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 an RN Case Manager Advocate with UnitedHealth Group, 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.
This remote role requires candidates to live in Alabama.
Primary Responsibilities:
- Provide telephonic outreach to engage members discharged to home/community following an inpatient admission
- Conduct telephonic clinical case management with engaged members for the 30-day transition of care period. Services include conducting post discharge assessments, medication review and reconciliation, identification of gaps and barriers in discharge plans and SDoH needs, member education, referrals and care coordination support
- Serve as a point of contact for members, facilities, and providers in support of member needs and care coordination
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 compact license
- 3+ years of experience in a hospital, acute-care or direct care setting
- 1+ years of Case Management experience
- Demonstrate a proficiency in computer skills to navigate a windows-based environment, including internet searches, program navigation, and the use of multiple screens and tabs
- Ability to accommodate a home-office designated workspace with high-speed Internet
- Reside in Alabama
Preferred Qualifications:
- BSN
- Case management experience or CCM certification
- Experience or exposure to discharge planning, utilization review, concurrent review, or risk management
- Experience in a telephonic role
- A background in managed care
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
