1+ months

Telephonic Case Manager RN - Buffalo, NY

Buffalo, NY 14202
  • Job Code
    849240
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. As a Telephone Case Manager RN, 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. Ready for a new path? Apply today!
 
Depending on account, hours will be either Monday- Friday three days business hours and two days consumer hours from 11am-8pm; as well as one Saturday shift per month; or Monday-Friday 11am-8pm. Position could eventually allow for some work at home light privileges. That would consist of working from a home setting 2 days a week and in the office the remaining 3 days a week.
 

Primary Responsibilities:

  • Making outbound calls to assess members' current health status
  • Identifying gaps or barriers in treatment plans
  • Providing patient education to assist with self management
  • Interacting with Medical Directors on challenging cases
  • Coordinating care for members
  • Making referrals to outside sources
  • Coordinating services as needed (home health, DME, etc.)
  • Educating members on disease processes
  • Encouraging members to make healthy lifestyle changes
  • Documenting and tracking findings
  • Utilizing Milliman criteria to determine if patients are in the correct hospital setting
  • Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources
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.
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Posted: 2019-10-26 Expires: 2019-12-21

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Telephonic Case Manager RN - Buffalo, NY

UnitedHealth Group
Buffalo, NY 14202

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