What makes your clinical career greater with UnitedHealth Group? You’ll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you’ll open doors for yourself that simply do not exist in any other organization, anywhere. Whether in-person or over-the-phone, we’re working to help others live healthier lives while providing an opportunity for you to do your life’s best work.(sm)
Schedule: Mon-Fri, 8a-5p. No nights, weekends, or holidays. Ever.
- Allowing 100% remote capacity through COVID-19. The regional office is located in Irvine, California, and the candidate selected is expected to work on-site daily, post-COVID-19, with the potential to continue telecommuting privileges.
Primary Responsibilities:
Provides health education and coaches consumers on treatment alternatives to assist them in best decision making
Supports consumers in selection of best physician and facility to maximize access, quality, and to manage heath care cost
Coordinates services and referrals to health programs
Prepares individuals for physician visits
Assesses and triages immediate health concerns
Manages utilization through education
Identifies problems or gaps in care offering opportunity for intervention
Assists members in sorting through their benefits and making choices
Takes in-bound calls and places out-bound calls as dictated by consumer and business needs
Special projects, initiatives, and other job duties as assigned
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 licensure
3+ years of clinical nursing experience, resulting in excellent clinical skills and judgment
Solid inbound and outbound telephonic skills
Intermediate level of proficiency with computer skills (Microsoft Word, Outlook, and Internet) with the ability to navigate a Windows environment and the ability to create, edit, save and send documents utilizing Microsoft Word
Understanding of change and ability to move members along the continuum of change
Experience assessing and identifying needs and being able to influence and motivate
Conflict management experience
Experience working under pressure and appropriately prioritizing responsibilities
You will be asked to perform this role in an office setting or other company location.
Employees are 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 prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
Preferred Qualifications:
Bachelor’s degree in Nursing
Coaching and/or decision support experience
Managed care experience
Bilingual in one of the following: Spanish, Farsi, Arabic, Vietnamese
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)
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 Case Manager , Telephonic RN Case Manager , Irvine, CA, California
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