UnitedHealth Group

Case Manager RN

UnitedHealth Group$60K — $107K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required
  • Current, active, unrestricted RN license in a Compact License state
  • 3+ years of experience in Case Management and/or Care Coordination
  • Advanced proficiency in Microsoft Office, especially Excel and PowerPoint
  • Proficient in typing and managing multiple systems in a Windows environment
  • Ability to work one late shift weekly (10 am - 7 pm)

Responsibilities

  • Collaborate with Clinical Pharmacist and Coordinator for patient engagement
  • Communicate inpatient discharge information to primary care
  • Conduct post-discharge outreach including medication reviews
  • Guide patients to cost-effective specialist referrals
  • Coordinate appointments for high-risk patients with PCPs and specialists
  • Provide patients with benefit information and resources
  • Resolve patient care issues through effective communication

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase options
  • 401k contribution plans
  • Opportunities for professional development and career growth
Full Job Description
We are looking for an RN Care Coordinator as an addition to the Optum Insight ACO Practice Extend Team. You will work alongside our Care Team's Clinical Pharmacist and Clinical Administrative Coordinator to improve the health outcomes of the patients we serve. The RN Care Coordinator is responsible for managing patients attributed to provider practices participating in the Optum Insight ACO. The RN Care Coordinator focuses on care transitions, high risk patient management, referral coordination, and appropriate site-of-service utilization. This role includes high-volume telephonic outreach, patient education, and coordination with primary care providers (PCPs), specialists, and the Practice Extend care team to ensure high-quality care delivery.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Work with a Care Team of a Clinical Pharmacist and Clinical Administrative Coordinator to support patient and provider engagement across care transitions management, care coordination, and medication management activities
  • Facilitate communication of inpatient discharge information to primary care offices using appropriate technology tools
  • Conduct post-discharge outreach for inpatient and emergency department visits, including medication reviews, scheduling timely follow up appointments, and providing education on discharge instructions and appropriate sites of care
  • Guide patients in accessing high-quality, cost-effective specialist referrals
  • Support high-risk patients by coordinating and scheduling PCP and/or specialist appointments
  • Provide patients with benefit information and resources upon request
  • Communicate with provider offices to resolve patient care issues and facilitate communication between practice staff and care team
  • Build and maintain strong relationships with participating provider practices by communicating program goals, patient needs, and value-based care opportunities
  • Facilitate and/or lead provider-facing meetings, including onboarding meetings and ongoing collaboration meetings


You9ll 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.

Required Qualifications:

  • Bachelor9s degree
  • Current, active, unrestricted Registered Nurse (RN) license in a Compact License state within the US
  • 3+ years of experience in Case Management and/or Care Coordination
  • Advanced level of proficiency in Microsoft Office, particularly Excel and PowerPoint
  • Advanced level of proficiency typing and navigating a Window-based environment simultaneously
  • Ability to work 1 late shift per week (10 am -7pm), standard schedule is 8am-5pm (times reflect the time zone business hours assigned - Central, Mountain, or Arizona)


Preferred Qualifications:

  • Spanish/English Bilingual
  • Case Management Certification
  • Experience in a high-volume outreach or outbound call center environment
  • Experience in managed care and/or population health management


Soft Skills:

  • Ability to quickly learn and manage multiple clinical systems simultaneously
  • Adaptable, flexible, and able to incorporate frequent process changes into established workflows within a fast-paced, dynamic environment


*All Telecommuters will be required to adhere to UnitedHealth Group9s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you9ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

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