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RN Telephonic Case Manager - Transplant Services - Telecommute

Phoenix, AZ

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Position Description
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
If you are located in the Pacific or Mountain time zone, you will have the flexibility to telecommute* as you take on some tough challenges.
This is a work at home position, but you must live in the Pacific or Mountain time zones.
Monday-Friday, Days
Primary Responsibilities:
Manage transplant patients from evaluation to one year post transplant
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 transplant 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
Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources
Required Qualifications:
Active, unrestricted RN license in your state of residence
2 years of clinical nursing experience in a hospital setting, acute care or direct care environment
Proven proficiency utilizing Microsoft Word, with the ability to navigate a Windows environment, Excel (trainable) and Outlook
Multiple state licensures (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required
Must reside in a location that can receive a **MEMBERS ONLY**SIGN UP NOW***. approved high speed internet connection or can leverage existing high-speed internet service
Preferred Qualifications:
Bachelor's Degree in Nursing
Previous case management experience
Previous organ and/or bone marrow transplant experience
Experience working with Milliman Care Guidelines (MCG)
Certified Case Manager (CCM)
Residence in MST, PST time zones
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 **MEMBERS ONLY**SIGN UP NOW***. 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 **MEMBERS ONLY**SIGN UP NOW***.’s Telecommuter Policy.
Diversity creates a healthier atmosphere: **MEMBERS ONLY**SIGN UP NOW***. 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.

**MEMBERS ONLY**SIGN UP NOW***. 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, telephonic, health care, healthcare, telecommute, telecommuter, telecommuting, remote, work from home, virtual, transplant, Arizona, AZ, Colorado, CO, New Mexico, NM, Nevada, NV, Oregon, OR, Washington, WA
Job Reference #:
Job Status:
Full Time
Date Posted:
Pay Rate:
Recruiter and Available Location Information
Recruiting In, Phoenix, AZ 85001

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