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Case Manager, RN - Telephonic, office-ba
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Job Title: Case Manager, RN - Telephonic, office-based role .
Job Category: Healthcare/Physician/Nursing [ View All Healthcare/Physician/Nursing Jobs ] .
Job description: .
No weekends! No holidays! OptumHealth Care Solutions offers tailored programs that can enhance clinical outcomes and reduce costs for customers. The Care Solutions organization offers best-in-class programs and care management services to help consumers receive the right care at the right time in the right place. We're seeking a new Case Manager to provide telephonic disease management services for a variety of members in one of our employer groups. This is a highly autonomous role that offers a great schedule (no weekends or holidays), a supportive team environment, and the competitive benefits you would expect from a Fortune 50 organization. If you are interested in using your nursing skills while working in a professional office environment, apply now to join our Cypress, CA team (Note, the office is currently located in Long Beach but will move to Cypress in mid-February. If performance expectations are met, there may be an opportunity to work from home.) Primary responsibilities include:-Making outbound calls to members and facilities and taking inbound calls to provide case, risk and disease management -Utilizing Milliman criteria to determine if patients are in the correct hospital setting -Working with onsite Case Managers, physicians and other care staff to ensure that discharge plans are in place -Making "welcome home" calls to ensure that discharged members receive the necessary services and resources -Educating members on their discharge care plan instructions, medication management, etc. -Coordinating services as needed (home health, DME, etc.) -Developing care plans and assisting consumers with obtaining access to care, providers and lifestyle changes -Making referrals to partner programs -Collaborating with the Team Lead and Medical Director on complex casesRequired qualifications include:-Current, unrestricted RN license for CA -Recent acute care, hospital or direct care experience, OR experience as a telephonic Case Manager for another insurance company -Ability to type while speaking on the phone -Solid computer skillsPreferred qualifications include:-Home health case management experience -Experience in utilization review, concurrent review and/or risk management -Exposure to discharge planning -BSNUnitedHealth Group offers a full range of comprehensive benefits to full-time and part-time employees, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. Apply Nowby visiting http://www.unitedhealthgroup.com/careers/index.htm and typing the following requisition number into the search block: 199666Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. keywords: care manager rn, health care, healthcare, icu, licensed practical nurse, lpn, medical, medical care, nurse, nursing, obstetrics, pediatrics, r n, registered nurse, rn clinical, health, health care, healthcare, medical, medical care, nurse, nursing, r n, registered nurse, care manager, case management, clinical, complex care manager, medical, nurse .
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Full Time
Salary Range: Unspecified .
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Job Location: Cypress - California - USA View a map of this job .
Zip/Postal Code: 90630 .
Post Date: 05/01/2008 .
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Applicant Category: Professional
Requisition Code: Work at home
Two Initials of Recruiter: bw
System Date: 05/01/2008
System Time: 15:42:18
Document Name(40): Case Manager, RN - Telephonic, office-ba
Source: Indeed - USA
SearchTerms: "work at home" "work from home"
URL(80): http://www.indeed.com/rc/clk?cd=iR381id5KlnTh34HP9RjJBSR5A1UZHvLnr-brQ90fPHGF5aX
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