Remote RN Case Manager — Patient Education & Support

Jobtome; Council Bluffs (IA); Remote; USD 60,000 - 107,000; Full time

Job summary

UnitedHealthcare is seeking a registered nurse to join a new program delivering education and guidance to members across the continuum of care. This role emphasizes frontline clinical support and a strong nursing background.

It is highly customer-service oriented and requires a generalist nursing skill set. You will work remotely from anywhere in the U.S., addressing member questions, coordinating with internal specialists, and documenting interactions to support program goals and patient

Qualifications

• Current and unrestricted RN compact license.
• 4+ years of acute nursing experience as an RN.
• 2+ years of case management experience.
• Med-surg, critical care and/or ER experience.
• Basic computer proficiency (ie MS Word, Outlook).
• Proven ability to function independently and responsibly with minimal supervision.

Responsibilities

• Acts as resource to members calling into a customer service setting addressing medical/health questions.
• Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member.
• Provide process and status on previously submitted prior authorizations or pre-determination requests.
• Effectively refers and enrolls members to appropriate internal specialists and programs, based on member's needs and eligibility.
• Support and advocate for members and families in complicated medical situations.
• Use good nursing judgement in a variety of scenarios real time.
• Accurately documents member interaction across multiple databases, while on the call and follow all processes and procedures.
• Educates members in healthcare decision making.
• Takes lead role in setting direction and participating in or developing new program and initiatives to improve performance of new program.
• Ability to collaborate with peers and managers to improve service model performance.
• Assists with the development and implementation of departmental policies and procedures.
• Enjoys working in a fast paced environment and must be able to adapt quickly to change while executing efficiently.

Skills

RN license

Acute nursing

Case management

Med-surg/CC/ER

Computer proficiency

Independent worker

Job description

UnitedHealthcare is seeking a registered nurse to join a new program delivering education and guidance to members across the continuum of care. This role emphasizes frontline clinical support and a strong nursing background.

It is highly customer-service oriented and requires a generalist nursing skill set. You will work remotely from anywhere in the U.S., addressing member questions, coordinating with internal specialists, and documenting interactions to support program goals and patient