Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This is a Telephonic RN Case Manager position that will be supporting the Fertility Solutions Program.

This position is a full time/40 hours per week, Monday through Friday:  8:00am to 5:00pm within your time zone.

Primary Responsibilities:

• Make outbound calls to assess members' current health status
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• Make referrals to outside sources
• Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
• Support members with condition education, medication reviews and connections to resources

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 the state of residence
• Compact State License (NLC) or live in one of the NLC states to be able to obtain multi-state license within 30 days
• 3+ years of nursing (RN) experience in a fertility clinic where working with fertility patients directly as the focus of the role
• Solid clinical knowledge in the field of infertility with the ability to provide education to member who are seeking infertility treatment
• Intermediate proficiency, including the ability to type and talk at the same time and to navigate within Microsoft Office
• Access to high-speed internet from home
• Dedicated workspace in home for home office

Preferred Qualifications:

• BSN
• Certified Case Manager (CCM)
• Willingness to obtain CCM within 30 months of employment
• Experience managing/supporting patients with co-morbidities (hypertension, cardiovascular disease, diabetes, edema/renal disease, genitourinary infection, general infection, thyroid disease, anemia)
• Case management experience
• Experience or exposure to discharge planning
• Experience in utilization review, concurrent review or risk management
• Experience in a telephonic role
• Background in managed care

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: UnitedHealth Group 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. 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment 

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