Telephonic RN Case Manager- Must live in Kansas at Overland Park

Job Description

For those who want to invent the future of health care, heres your opportunity. Were going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your lifes best work.(sm)Want to learn more before applying for this role? Click here to view the Realistic Job Preview: Telephonic_Case_Manager_Optum.pdfResponsibilities for Case Managers include: 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 casesCoordinating care for membersMaking referrals to outside sourcesCoordinating services as needed (home health, DME, etc.)Educating members on disease processesEncouraging members to make healthy lifestyle changesDocumenting and tracking findingsUtilizing Milliman criteria to determine if patients are in the correct hospital settingMaking welcome home calls to ensure that discharged member receive the necessary services and resourcesOptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.At OptumHealth, you will perform within an innovative culture thats focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact thats greater than youve ever imagined.

Job Requirements

Requirements: Current, unrestricted RN license in the State of KansasMust reside in the State of Kansas3+ years of experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance companyAdvanced level of experience with Microsoft Word, with the ability to navigate a Windows environmentMotivational interviewing skillsStrong patient assessment skillsMedicaid experienceStrong organizational skills and multitasking abilities will be keys to successAdditional Assets Preferred:Bachelors DegreeA background in managed careCase Management experienceCertified Case Manager (CCM)Bi-lingual English / SpanishExperience/exposure with discharge planningExperience in utilization review, concurrent review and/or risk managementOptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.At OptumHealth, you will perform within an innovative culture thats focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact thats greater than youve ever imagined.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Country: USA, State: Kansas, City: Overland Park, Company: UnitedHealth Group.