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Transplant Nurse Case Manager RN - Telecommute

Employer
UnitedHealth Group
Location
Houston, MO
Closing date
May 15, 2021

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Profession
Nurse
Specialty
Medical Management
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

As a Telephonic Transplant Nurse Case Manager RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need. This is a telecommute / work from home position.

Shift is Monday - Friday from 8am - 5 pm. Shift requires some days to be worked until 7pm as needed.

You'll enjoy the flexibility to telecommute* from anywhere in the USA 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
* Making referrals to outside sources
* Coordinating services as needed (home health, DME, etc.)
* Educating members on disease processes
* Encouraging members to make healthy lifestyle changes
* Documenting and tracking findings
* 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

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)

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 your state of residence
* Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses
* 2+ years of experience as an RN in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
* 1+ years of Transplant experience working as an RN
* Basic level of proficiency with Microsoft Word, with the ability to navigate a Windows environment
* Access to high speed internet from home (Broadband cable, DSL or fiber)
* Dedicated workspace from home
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employee must comply with any state and local masking orders

Preferred Qualifications:

* Bachelor's Degree
* Reside in compact state and have compact license
* Certified Case Manager (CCM)
* 5+ years of transplant experience working in an environment where transplant was the main focus of your job
* Experience working in an ICU or Oncology setting
* Background in managed care (MCO) or insurance setting
* Case Management experience
* Experience working with bone marrow transplants
* Experience / exposure with discharge planning
* Experience in utilization review, concurrent review and/or risk management
* Solid organizational skills and multitasking abilities will be keys to success

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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

Colorado Residents Only: The salary range for Colorado residents is $53,500 to $95,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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: Registered Nurse, RN, Transplant, ICU, Post Op, Oncology, Dialysis, Case Manager, Care Coordinator, Cardiology Nurse, Oncology Nurse, Transplant Nurse, Virtual, Work from Home, Telecommute, Remote, Work at Home

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