Manager
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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. 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 Telephonic Oncology Case Manager RN, you'll support our Oncology 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. 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). Core hours are 8:00am - 4:30pm Monday-Friday in your time zone. One late night per week to be worked until 7:00pm in your time zone. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities- Making outbound calls to assess patient's current health status
- Identifying gaps or barriers in treatment plans
- Interacting with Medical Directors on challenging cases
- Providing patient education to assist with self-management
- Coordinating care for members
- Encouraging members to make healthy lifestyle changes
- Documenting and tracking findings
- Educating members on disease processes
- Encouraging members to make healthy lifestyle changes
- Making post-discharge calls to ensure that discharged member receive the necessary services and resources
- Utilization management through evaluating appropriateness and efficiency of requested health care services, procedures, and cancer treatments under the provisions of the applicable health benefits plan
- Current, unrestricted RN license
- Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses
- 3+ years of recent Oncology experience in a Hospital setting, Acute Care, Direct Care experience or experience as an Oncology Telephonic Case Manager for an insurance company
- Recent Chemotherapy administration experience
- Computer proficiency, to include solid data entry skills and the ability to navigate a Windows environment
- Access to high-speed internet from home (Broadband Cable, DSL or Fiber)
- Dedicated workspace for home office set up
- BSN
- OCN Certification
- Chemo Administration Certification
- Certified Case Manager (CCM)
- Background in managed care
- Case or disease management experience
- Experience / exposure with discharge planning
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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