Telephonic Case Manager - Richardson, TX

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Company:
 
UnitedHealth Group
Company Profile | Current Opportunities (133)
Job Location(s): Richardson
Employment Term: Regular
Employment TypeFull Time
Start Date:As soon as possible
Starting Salary Range:Not Provided
Required Experience: Open
Related Categories:Social Services/Community

Position Description

Job Description - Telephonic Case Manager - Richardson, TX (313275)
Job Description
Telephonic Case Manager - Richardson, TX-313275
Description
OptumHealth 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.
If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.
By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.
Position Summary:
As a Case Manager, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. This may include case management, disease management, coordination of care and medical management consulting. You will also be responsible for providing health education, coaching and treatment decision support for members.
Primary responsibilities:
  • 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 cases
  • Coordinating care for members
  • Making referrals to outside sources
  • Coordinating services as needed (home health, DME, etc)
  • Educating members on disease processes
  • Encouraging members to make healthy lifestyle changes
  • Documenting and tracking findings
  • Making "welcome home" calls to ensure that discharged member receive the necessary services and resources
At OptumHealth, you will perform within an innovative culture that's focused on . You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
Qualifications
Qualifications:
  • Current, unrestricted RN license in the State of Texas
  • 3+ years experience in a hospital setting, acute care, direct care experience OR experience as a telephonic Case Manager for another insurance company
  • Computer proficiency including the ability to type and talk at the same time and to navigate a Windows environment
Additional Assets Preferred:
  • BSN
  • A Background in managed care
  • Certified Case Manager (CCM)
  • Experience /exposure with discharge planning
  • Experience in utilization review, concurrent review and/or risk management
  • Strong organizational skills and multitasking abilities will be keys to success
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth 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.
Job Case Management
Primary LocationUS-TX-Richardson
Organization Care Solutions Operations
Schedule Full-time
Number of Openings 5

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