Registered Nurse Case Manager - Remote

Remote Full-time
About the position

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.
We're making a solid 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 with Optum, 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!
Must be available to work within business hours Monday through Friday with 2 days a week until 8PM CST.
This is high volume, customer service environment. You'll need to be efficient, productive and thoroughly dealing with our members over the phone. solid computer and software navigation skills are critical. You should also be solidly 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 directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Responsibilities
• Make outbound calls and receive inbound calls to assess members' current health status
• Make referrals to outside sources
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• 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 such as Home Health Aides or Meals on Wheels
• Works with less structured, more complex issues
• Serves as a resource for others

Requirements
• Current, unrestricted RN license in the state of residence
• Ability to obtain additional state licensure as needed by the business
• 3+ years of experience in a hospital, acute care or direct care setting
• Ability to work 2 nights per week until 8PM CST
• Ability to navigate a Windows Based Environment
• Access to high-speed internet and a designated, distraction free workplace

Nice-to-haves
• BSN
• Certified Case Manager (CCM)
• Case management experience
• Experience or exposure to discharge planning
• Experience in discharge planning or utilization review
• Experience in a telephonic role
• Background in managed care

Benefits
• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

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