This is an office based opportunity at our Maryland Heights, Mo location
As a Heart Failure Disease Management Case Manager RN with OptumHealth, you will assist our members in managing their health through ongoing communication, education and care coordination.
Major Duties and Responsibilities:
Make outbound calls to assess members' current health status
Use clinical and critical thinking skills daily to track and determine members' plan of care based on biometric screening data
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 as needed
Educate members on disease processes
Encourage members to make healthy lifestyle changes
Document and track findings
Utilize evidence based medicine criteria to determine if patients are in the correct hospital setting
Work Schedule- Mon- Fri; dayshift
Current, unrestricted RN license in the State of residence
3+ years of hands on clinical experience
Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
Willingness to acquire CCM within 2 years of employment
Additional Desired Qualifications:
Bachelor's Degree or Higher in Nursing
Managed Care experience
Case Management and/or Disease Management experience
DM nurse with Cardiac disease or Heart Failure clinical background
Certified Case Manager (CCM)
Experience/exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management
Strong organizational skills and multitasking abilities
OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
UnitedHealth Group - 22 months ago
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