The Telephonic Case Manager RN Behavioral Health will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Behavioral Health is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting.
This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes.
This is a full-time, Monday - Friday, 8am-5pm position in your time zone.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:- Make outbound calls and receive inbound 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
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 the state of employment
- Active Compact RN License
- 1+ years of experience with mental health/behavioral health/substance use focus
- Proven ability to type and have the ability to navigate a Windows based environment
- Access to high-speed internet (DSL or Cable)
- Dedicated work area established that is separated from other living areas and provides information privacy
Preferred Qualifications:- BSN
- Certified Case Manager (CCM)
- 3+ years of experience with a mental health/behavioral health/substance use focus
- Case management experience
- Experience or exposure to discharge planning
- Experience in a telephonic role
- Background in managed care
*All employees working remotely will be required to adhere to UnitedHealth Group's 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, you'll 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.
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.
