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UnitedHealth Group Telephonic Case Manager RN New Hyde Park NY Remote in New Hyde Park, New York

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.

As a team member of our Landmark product, we help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

In this role you will have the ability to achieve work life balance. Flexible scheduling offered where providers can flex their time over the 7-day work week. No on-call, no weekends and no holidays required.

We’re making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry forward. As a Telephonic Case Manager RN, you’ll 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!

Work Schedule - Monday to Friday 8;30 AM - 5:00 PM EST

If you have the ability to attend meetings in New Hyde Park, New York office, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Making outbound calls and taking inbound 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 cases

  • Coordinating care for members

  • Educating members on disease processes

  • Encouraging members to make healthy lifestyle changes

  • Documenting and tracking findings

  • Making post - discharge calls to ensure that discharged member receive the necessary services and resources

  • Work with interdisciplinary team including care coordinators, providers and social workers

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 New York

  • 2+ years of RN experience in a home health care setting, acute care, or direct care experience OR experience as a telephonic Case Manager for an insurance company

  • Computer proficiency, to include solid data entry skills and the ability to navigate a Windows environment (Word, Outlook, Excel, and Internet)

  • Designated workspace and access to high-speed internet service

  • Willing or ability to travel to the New Hyde Park, NY office for meetings

Preferred Qualifications:

  • BSN

  • Certified Case Manager (CCM)

  • Case or disease management experience

  • Experience working with Medicare / geriatric patients

  • Experience / exposure with discharge planning

  • Background in managed care

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

New York Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: OptumCare 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.

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

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