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RN Telephonic Case Manager - Chronic Kidney Disease - Telecommute

UnitedHealth Group

UnitedHealth Group

RN Telephonic Case Manager - Chronic Kidney Disease - Telecommute

Lisle, IL
Paid
  • Responsibilities

    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 and help people live healthier lives while doing your life's best work. (sm)  As an RN Telephonic Nurse 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-2pm and then 5pm-8pm   You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.   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). Required Qualifications: Active, unrestricted RN license in your state of residence Multiple state licensures (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required 2+ years of experience in a hospital, acute care, or direct care setting, or experience as a Telephonic Case Manager for an insurance company 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 Preferred Qualifications: BSN Diabetic educator experience Renal or Dialysis Care experience Chronic Kidney disease experience Certified Case Manager (CCM) Experience with discharge planning Experience in utilization review, concurrent review and/or risk management Telephonic case management experience Bilingual Skills (fluency in Spanish, Mandarin, Chinese, etc.) RN license in a compact RN license state Answer the call to use your diverse knowledge and experience to make health care work better for our patients. Join us and start doing 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: RN, nurse, case manager, telephonic, dialysis, kidney, renal, diabetes, diabetic, Medicare, geriatric, high risk, telecommute, work from home

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  • Industry
    Hospital and Health Care
  • Fun Fact
    UnitedHealth Group is working to create the health care system of tomorrow.
  • About Us

    A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.