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Job Details

RN Case Manager Milwaukee WI Telecommute

Company name
Optum, Inc.

Milwaukee, WI

Date Last Verified
Mar 14,2018

Posted on
Mar 13,2018

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Theres energy and excitement here, a shared mission to improve the lives of others as well as our own. A passion for excellence you won't find anywhere else. We ask tough questions. We push ourselves and each other to find smarter solutions. The result is a culture of performance thats driving the health care industry forward. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Learn more, and start doing your lifes best work. (sm)

As a Case Management RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need. What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

If you are located in Milwaukee, WI, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Make outbound 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

Make referrals to outside sources

Coordinate services as needed (home health, DME, etc.)

Educate members on disease processes

Encourage members to make healthy lifestyle changes

Document and track findings

Utilize Milliman criteria to determine if patients are in the correct hospital setting

Make welcome home calls to ensure that discharged member receive the necessary services and resources

Possible hospital visits with members

This is aMilwaukee, WI work at home opportunity. However, this position could require travel to member locations to conduct field case management, based on member needs. Youll need to be comfortable dealing with a full range of in-home and facility-based environments. Most of the time youll work autonomously, so the ability to stay focused and motivated is essential.

Required Qualifications:

Current, unrestricted RN license in the state ofWisconsin

Reliable transportation to travel to member homes or other locations within service delivery area

3 years clinical experience in a hospital, acute care, home health / hospice, direct care or case management

Computer / typing proficiency to enter/retrieve data in electronic clinical records; experience with email, Internet research, use of online calendars and other software applications

Ability to obtain CCM certification within 30 months of employment, if not currently held

Preferred Qualifications:

Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action

Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

Case Management experience

Behavioral Health / Home Care / field based case management

Medicaid, Medicare, Managed Care experience

Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs

Bilingual skills

Experience in Home & Community based or Long Term Care services delivery

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)

*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy

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, managed care, field-based, healthcare, health care, Medicaid, Medicare, Bilingual, Clinical, Home Health, CCM, Medicare, WI, Wisconsin, Milwaukee, Telecommute, Telecommuter, Work at Home, Telecommuting

Company info

Optum, Inc.
Website :

Company Profile
We’re passionate about serving, connecting and improving the whole health system for everyone in it. Optum™ is a health services and innovation company on a mission to help make the health system work better for everyone. We combine data and analytics with technology and expertise to power modern health care. In collaboration with our partners, we focus on three key drivers of transformative change: modernizing the health system infrastructure, advancing care and empowering consumers. Serving the whole system Partnering with 300 health plans to ensure positive changes take root in the broader health system and benefit the most possible people. Supporting hundreds of life sciences companies as they research and develop new treatments. Working with 67,000 pharmacies to help people get the care and treatments they need. Helping half of the Fortune 500 employers meet their employees’ health and wellness needs Serving care providers and health systems — including four out of five U.S. hospitals — to support their focus on quality care, better patient experiences, operational efficiency and cost savings. Partnering with government agencies in 40 states and, increasingly, around the world. Helping 74 million people find the right care at the best value, understand their options and take charge of their health and wellness. We are inspired to always work harder, aim higher, and deliver on our values of integrity, compassion, relationships, innovation and performance for everyone we serve. We never forget that, ultimately, the work we do has an impact on the lives of real people every day. From sharing new discoveries to celebrating healthy victories, see the latest news and events to learn how Optum is collaborating with our partners and communities to help make the health system work better for everyone. Powering modern health care requires a special team – people who envision a healthier future, people who challenge the status quo and people who are driven by compassion and possibility. If you want your work to make a powerful difference in the lives of others, explore an Optum career today.

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