RN Case Manager - Compact License Required - Remote
About the position 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We’re creating opportunities in every corner of the health care marketplace to improve lives while we’re building careers. And that means continuous career growth opportunities for you. While we support you with the latest tools, advanced training, and the combined strength of high caliber co-workers.
Responsibilities
- Make outbound calls and receive inbound calls to assess members' current health status and gaps in care
- Completes assessments evaluating members for clinical and social needs timely and effectively
- Follows model of care requirements as outlined in policies, procedures, and job aids
- Evaluates members for ongoing needs and completes referrals as appropriate
- Manages, communicates, and updates the plan of care with members
- Collaborates with other programs and departments as necessary
- Collaborates with Primary Care Physicians regarding medication concerns, questions, or other member needs
- Ability to work independently and follow program processes
Requirements
- Current, unrestricted RN compact license
- 3+ years of experience in a hospital, acute care, or direct care setting
- Basic level of experience with Microsoft Office (Word, Excel, Outlook)
- Designated workspace and access to install high-speed internet via hardwire in home
Nice-to-haves
- BSN
- Certified Case Manager
- Case Management experience
- Experience or exposure to discharge planning, utilization review, concurrent review or risk management
- Experience in a telephonic role
- A background in managed care
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution