Telephonic Fertility RN Case Manager

UnitedHealth Group - Schaumburg, IL3.6

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 is a Telephonic Case Manager position and is telecommute / work from home from any location in the USA. Shift is Monday-Friday, 8:00AM-4:30PM in your time zone with one late day per month required

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. 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 the state of employment

Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses

3+ years of nursing experience in a fertility clinic where working with fertility patients was the main focus of your position (OBGYN experience doesn’t qualify)

Computer proficiency, including the ability to type and talk at the same time and to navigate within Microsoft Windows

Access to high speed internet from home

Dedicated work space

Ability to work one late shift a month

Preferred Qualifications:

A background in managed care

Knowledge of 3rd party reproduction

Willingness to obtain CCM within 30 months of employment

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

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)

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do 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