Telephonic Registered Nurse Case Manager - Remote
Optum
Job Description
Position Overview Telephonic Case Manager RN role supporting a diverse member population with education, advocacy, and connections to resources, impacting millions over time. Training and Schedule New Hire Training Monday – Friday, 9:00 am – 6:00 pm EST for 3 weeks, followed by Ramp Up Monday – Friday, 10:00 am – 7:00 pm EST for 4–6 months. Post‑Training Schedule options: 5 days/week, 12:00 pm – 9:00 pm EST or 4 days/week, 10:00 am – 9:00 pm EST. Business Hours: 9:00 am – 9:00 pm EST. Remote work: work from anywhere within the U.S. Primary Responsibilities Make outbound calls and take inbound calls to assess members’ current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self‑management Interact with Medical Directors on challenging cases Coordinate care for members Educate members on disease processes Encourage members to make healthy lifestyle changes Document and track findings Make post‑discharge calls to ensuring members receive necessary services and resources Required Qualifications Active, unrestricted RN license in the state of residence Willingness to obtain multiple state and/or compact licensure within 60 days of hire 3+ years of RN experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company Computer proficiency, including solid data entry skills and the ability to navigate a Windows environment (Word, Outlook, Excel, and Internet) Designated quiet workspace and access to install secure high‑speed internet via cable/DSL in home Preferred Qualifications BSN Certified Case Manager (CCM) Medical / Surgical, Home Health, Diabetes, Cardiac, or Emergency Room experience Experience with acute chronic disease management for a variety of age groups Telephonic case or disease management experience Experience with / exposure to discharge planning A background in managed care Employment Details All employees working remotely must adhere to UnitedHealth Group’s Telecommuter Policy. Pay range: $60,200 – $107,400 annually, based on local labor markets, education, work experience, certifications, etc. Benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (subject to eligibility). EEO Statement UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
Policy UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr