*Telephonic Case Manager RN- Richardson, TX (Hybrid) $5k Sign-On Bonus
Location: Richardson, Texas
Internal Number: 109532922
**$5,000 Sign On Bonus for External Candidates**
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We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!
Positions in this function require various nurse licensure and certification based on role and grade level. These roles identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members. Includes Health Coach, Health Educator, and Health Advocate roles that require an RN. *Employees in jobs labeled with ‘SCA’ must support a government Service Contract Act (SCA) agreement. Generally work is self-directed and not prescribed.
Hybrid Schedule: Monday thru Friday
In-Office: 3x days a week (8am to 5pm CST)
At-Home: 2x days a week (11am to 8pm CST)
Training Hours: Monday thru Friday (9am to 6pm CST) for 2 to 4 weeks
Optional: 1-Saturday a Month/Rotation
Office Location: 1311 West President George Bush Highway, Richardson, TX 75080
Make outbound calls and receive inbound calls to assess members' current health status
Make referrals to outside sources
Identify gaps or barriers in treatment plans
Provide patient education to assist with self-management
Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
Works with less structured, more complex issues
Serves as a resource to others
This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes
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.
Undergraduate degree or equivalent experience
Current, unrestricted RN license in the state of Texas
3+ years of experience in a hospital, acute care or direct care setting
Ability to support a Hybrid work schedule, including consumer centric hours (11a - 8p CST) two days a week and the potential to support Saturday hours as needed based on the needs of the business
Ability to obtain Texas compact/multistate licensure within 30 days of hire
Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance
Background in managed care
Case management experience
Certified Case Manager (CCM)
Experience or exposure to discharge planning
Experience in discharge planning or utilization review
Experience in a telephonic role
Experience in a leadership, account management or client facing role
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
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**PLEASE NOTE** The Sign-On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis (“Internal Candidates”) are not eligible to receive a Sign On Bonus.
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.