UnitedHealth Group Transplant Nurse Case Manager RN - Telecommute from MO in St. Louis, Missouri

For those who want to invent the future of health care, here's your opportunity. We're 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 life's best work.(sm)

As a Telephonic Transplant Nurse Case Manager RN , you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need. This is a telecommute / work from home position.

If you are located in Missouri, you will have the flexibility to telecommute* as you take on some tough challenges.

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

  • Utilizing Milliman criteria to determine if patients are in the correct hospital setting

  • Making welcome home calls to ensure that discharged member 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 paid for by UHG)

Shift: Monday - Friday from 8am - 5 pm. Shift requires some days to be worked until 7pm as needed.

Required Qualifications:

  • Current, unrestricted RN license in your state of residence

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

  • 1+ year of Transplant experience working as an RN

  • Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment

  • Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required

  • Access to high speed internet from home

  • A dedicated workspace from home

Preferred Qualifications:

  • Bachelor's Degree or greater

  • Residence in the state of MO

  • Experience working in an ICU or Oncology setting

  • A background in managed care (MCO) or insurance setting

  • Case Management experience

  • 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

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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, Transplant, ICU, Post Op, Oncology, Dialysis, Case Manager, Care Coordinator, Virtual, Work From Home, Telecommute