RN Case Manager, Remote Patient Monitoring - Telecommute

Employer
UnitedHealth Group
Location
Washington, DC
Posted
Nov 21, 2021
Closes
Nov 27, 2021
Ref
223920041
Industry
Insurance
Hours
Full Time
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. The Optum Dual Special Needs Plan (DSNP) at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines Optum trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the Optum clinician, the member s Primary Care Provider and other providers, and other professionals. Optum providers serve people in their own homes through annual evaluations, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management. As a Telephonic RN Case Manager with Optum at Home, 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. If you are located in an RN compact state, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Make outbound calls and receive inbound calls to assess members' current health status The RPM RN will monitor the Vivify system for alerts created by enrolled members who are communicating health information that may indicate a potential change in condition Maintain access to Vivify Care Team Portal throughout the day to monitor alerts for enrolled members. Provide patient education to assist with self-management of chronic health conditions Prompt outreach to member to triage alerts for signs of worsening condition and need to escalate to appropriate medical team (ie APC, PCP, or specialist) Provide a complete continuum of quality care through close communication with members on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels This is high volume, customer service environment. You'll need to be efficient, productive, and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes. You ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted RN License in state of residence Compact RN License, additional license may be required within 6 months of hire 2+ years case management experience Medicare and/or Medicaid managed care experience Experience educating members regarding chronic conditions Able to type and have the ability to navigate a Windows based environment and multiple platforms Access to High Speed Internet (Cable or DSL) Dedicated workspace from home Willing to conduct Video conference calls with members Preferred Qualifications: Familiar with the Optum at Home model of care BSN Experience with individuals with Heart Failure, COPD, Hypertension and Diabetes Certified Case Manager (CCM) Bilingual, Spanish Experience in a telephonic role Work Schedules: Monday - Friday Daytime Work at home Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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) UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status. *All Telecommuters will be required to adhere to UnitedHealth Group s Telecommuter Policy. Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $53,300 to $95,100. The salary range for Connecticut / Nevada residents is $58,800 to $104,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you ll find a far-reaching choice of benefits and incentives. 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, Case Manager, Case Management, Care Coordinator, CCM, Managed Care, Telephonic, Cardiac, Heart Failure, Critical Care, Home Health, Diabetes, CHF, COPD, Atlanta, GA, Georgia, Des Moines, IA, Iowa, Washington, DC, Dictrict of Columbia, Philadelphia, PA, Pennsylvania, Telecommute, Telecommuter, Telecommuting, Remote, Work from home, Work at home