Telephonic Registered Nurse Case Manager - Remote

About the role

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. As a Telephonic 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. You'll enjoy the flexibility to work remotely from anywhere within the U.S.

Schedule

• New Hire Training: Monday - Friday, 9:00 am - 6:00 pm EST for 3 weeks
• Ramp Up: Monday - Friday, 10:00 am - 7:00 pm EST for 4-6 months
• Post-Training Schedule: 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 to 9:00 pm EST

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 ensure the member receives the necessary services and resources

Requirements

• Active, unrestricted RN license in the state of residence
• Ability 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, to include solid data entry skills and the ability to navigate a Windows environment (Word, Outlook, Excel, and Internet)
• Designated quiet work space and access to install secure high-speed internet via cable/DSL in home

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
• Demonstrated background in managed care

Pay

The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)