Telephonic Nurse Case Manager - Cheektowaga, NY Details

Telephonic Nurse Case Manager - Cheektowaga, NY

UnitedHealth Group - Cheektowaga, NY

Employment Type : Full-Time

$5,000 sign-on bonus for external candidates!

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

We’re making a strong 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 Nurse 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!

The schedule for this position is Monday - Friday: 3 days/week 8am - 5pm and 2 days/week 11am - 8pm. You may be given the opportunity to telecommute after six months if all job goals are being met.

Primary Responsibilities:

• Make outbound calls to assess members' current health status
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• Interact with Medical Directors on challenging cases
• Coordinate care for members
• Make referrals to outside sources
• Coordinate services as needed (i.e., home health, DME, etc.)
• Educate members on disease processes
• Encourage members to make healthy lifestyle changes
• Document and track findings
• Utilize Milliman criteria to determine if patients are in the correct hospital setting
• Make ‘welcome home’ calls to ensure that discharged members receive the necessary services and resources

This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. Application fees and filing costs will be paid for by UHG.

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:

• Active, unrestricted RN license in the State of New York
• Multiple state licensure (in addition to Compact License if applicable) or the ability to obtain multiple state nursing licenses
• 3+ years of RN experience in a hospital setting, acute care, direct care, or as a Case Manager for an insurance company
• Ability to navigate a Windows environment; use MS Outlook; and create, edit, save, and send documents in MS Word
• Ability to work the schedule listed onsite in our Cheektowaga, NY office for approximately the first 6-12 months
• Access to high-speed internet (e.g., cable broadband, DSL, fiber optic) and a dedicated, distraction-free workspace at home for future telecommuting opportunities
• Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.

Preferred Qualifications:

• Bachelor's Degree
• Certified Case Manager (CCM)
• Home Health experience
• Managed care experience
• Case Management experience
• Experience / exposure with discharge planning
  

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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 do your life's best work.(sm)

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.

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

Job Keywords: Registered Nurse, RN, Case Manager, Certified Case Manager, CCM, Home Health, Discharge Planning MCO, Managed Care, Tonawanda, Buffalo, Cheektowaga, New York, NY