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Care Manager RN – LA Market – Remote
2365690 At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together 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 Telephone Case Manager RN with UnitedHealth Group, 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! 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 on phone interaction in an effort to reduce utilization and improve overall health outcomes
- Support members with condition education, medication reviews and connections to resources such as Home Health
- Aides or Meals on Wheels
- Active Multistate Compact Nursing License with primary residency in the state of residence, allowing the employee to practice in Louisiana and their home state
- 3+ years of experience in a hospital, acute care or direct care setting
- Ability to type and can navigate a Windows based environment
- BSN
- Certified Case Manager (CCM)
- Case management experience
- Experience or exposure to discharge planning
- Experience in utilization review, concurrent review or risk management
- Experience in a telephonic role
- A background in managed care
