Congenital Heart Disease Nurse Case Manager - Remote

UnitedHealth Group; Eden Prairie (MN); Remote; Confidential; Full time

Job summary

An established industry player is seeking a dedicated Telephonic Congenital Heart Disease Nurse Case Manager RN to join their dynamic team. This role focuses on improving health outcomes by supporting a diverse member population through education and advocacy. You will engage with members to assess their health status, identify treatment gaps, and coordinate care. This telecommute position offers flexibility and the opportunity to make a significant impact on community health. Join a culture that values diversity, inclusion, and career development while making a difference in the lives of others.

Benefits

Comprehensive Benefits Package

Incentive Programs

Equity Stock Purchase

401k Contribution

Qualifications

• Current RN license required with 3+ years of nursing experience.
• Experience in Cardiac/Pediatric nursing and Case Management preferred.

Responsibilities

• Make outbound calls to assess members' health status and provide education.
• Coordinate care and services for members, ensuring they receive necessary resources.

Skills

Nursing

Patient Education

Case Management

Communication Skills

Advocacy

Education

RN License

Certified Case Manager (CCM)

Tools

Microsoft Word

High-speed Internet

Job description

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

As a Telephonic Congenital Heart Disease Nurse Case Manager RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need. This is a telecommute / work from home position.

Shift: Monday - Friday, 8am - 4:30pm.

If you are located in ET and CT, you will have the flexibility to work remotely* as you take on some tough challenges.

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 and families on disease processes
• Encouraging members to make healthy lifestyle changes
• Documenting and tracking findings
• Making welcome home calls to ensure that discharged member receive the necessary services and resources

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.

Required Qualifications:

• Current, unrestricted RN license in your state of residence
• Ability to obtain RN licensure in other states as needed
• 3+ years of nursing experience as an RN
• 3+ years of Cardiac and/or Pediatric clinical nursing experience in a hospital setting, acute care or direct care environment
• Experience as a Case Manager for an insurance company OR within a hospital setting
• Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
• Access to high speed internet from home (broadband cable, DSL or fiber optic)
• Dedicated workspace from home

Preferred Qualifications:

• Reside in a compact RN license state
• Certified Case Manager (CCM)
• 5+ years of Transplant experience working as an RN
• Experience working in a Critical Care, ICU or Oncology setting
• Case Management experience
• Background in managed care (MCO) or insurance setting

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.