Telephonic RN Case Manager (High Risk SNP)

UnitedHealth Group - Maryland Heights, MO3.6

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 a Telephone Case Manager RN, 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!

***This position is a telecommute / work from home opportunity from the greater
Maryland Heights, MO area. Schedule is Monday - Friday during standard business hours.***
If you are located within a commutable distance from Maryland Heights, MO, you will have the flexibility to telecommute* as you take on some tough challenges.

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 such as Home Health Aides or Meals on Wheels
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.

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 licensure. (Application fees and filing costs paid for by UHG)

Required Qualifications:
Current, unrestricted RN license in your state of residence
3+ years of experience in a hospital, acute care or direct care setting
Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required
Must be able to talk and type simultaneously and have the ability to navigate a Windows based environment
Intermediate / proficient level of experience with MS Office applications
Ability to handle multiple tasks and function in a high volume environment
Must be willing / able to obtain CCM (Certified Case Manager) within 30 months of employment if not already certified
Must live within a commutable distance of our Maryland Heights, MO office location

Preferred Qualifications:
A background in managed care
Case management experience
Certified Case Manager (CCM)
Experience or exposure to discharge planning
Experience in utilization review, concurrent review or risk management
Previous experience in a telephonic role
Experience working with chronic, complex diagnoses (CHF, COPD, diabetes, etc.)
Home health experience
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.