22 days old

Telephonic Nurse Case Manager, RN - Eden Prairie, MN - 933249

Eden Prairie, MN 55344
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  • Job Code
    933249

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doingyour life's best work.(sm)

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Were making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance thats driving the health care industry forward. As a Telephonic Case Manager RN, youll 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!

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Candidates must live in within a commutable distance of Eden Prairie, MN to be considered.

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Chosen candidates will be required to work on-site in the office and may be allowed to work from home 2 days a week over time.

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This schedule is Monday Friday. Three days/week are standard business hours. Two days/week are 11am - 8pm CST.

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Primary Responsibilities:

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  • Making outbound calls to assess members' current health status
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  • Identifying gaps or barriers in treatment plans
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  • Providing patient education to assist with self-management
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  • Interacting with Medical Directors on challenging cases
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  • Coordinating care for members
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  • Making referrals to outside sources
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  • Coordinating services as needed (home health, DME, etc.)
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  • Educating members on disease processes
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  • Encouraging members to make healthy lifestyle changes
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  • Documenting and tracking findings
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  • Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources
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This is high volume, customer service environment. Youll 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.

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Youll 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.

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Required Qualifications:

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  • Live within a commutable distance of Eden Prairie, MN
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  • A current, unrestricted RN license in the State of Minnesota
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  • Willingness and ability to obtain additional RN licenses
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  • 3+ years RN experience in a hospital setting, acute care, direct care, or as a telephonic Case Manager for an insurance company
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  • Basic level of experience with Microsoft Word with the ability to navigate a Windows environment
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  • You will be asked to perform this role in an office setting or other company location.
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  • 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.
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Preferred Qualifications:

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  • Bachelor's Degree
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  • A background in managed care
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  • Case Management experience
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  • Call Center experience
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  • Certified Case Manager (CCM)
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  • Experience / exposure with discharge planning
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  • Experience in utilization review, concurrent review and / or risk management, strong organizational skills and multitasking abilities will be keys to success
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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 doyour life's best work.(sm)

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

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"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.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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"Job Keywords: RN, Registered Nurse, Case Manager, CCM, Eden Prairie, Minnesota, MN, Twin Cities, patient assessment, patient education, disease management

Posted: 2021-05-31 Expires: 2021-06-30

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Sponsored by:
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Telephonic Nurse Case Manager, RN - Eden Prairie, MN - 933249

UnitedHealth Group
Eden Prairie, MN 55344

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