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Telephonic Nurse Case Manager, RN – Cheektowaga, New York

UnitedHealth Group

This is a Full-time position in Buffalo, NY posted June 25, 2021.

UnitedHealthcare is a company that’s on the rise.

We’re expanding in multiple directions, across borders and, most of all, in the way we think.

Here, innovation isn’t about another gadget, it’s about transforming the health care industry.

Ready to make a difference?

Make yourself at home with us and start doing your life’s best work.(sm)

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, 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!

The schedule for this position is Monday
– Friday:

3 days per week 8am
– 5pm and 2 days per week 11am
– 8pm

You may be given the opportunity to telecommute after six months if all job goals are being met.

Primary Responsibilities:
Make outbound 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 Make referrals to outside sources Coordinate services as needed (home health, DME, etc.) Educate members on disease processes Encourage members to make healthy lifestyle changes Document and track findings Utilize Milliman criteria to determine if patients are in the correct hospital setting Make welcome home calls to ensure that discharged member receive the necessary services and resources

This position will require active and unrestricted Nursing licensure in multiple US States.

Selected candidate must be willing and able to obtain and maintain multiple state licensure.

(Application fees and filing costs paid for by UHG)

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 the state of New York 3+ years of experience in a hospital setting, acute care, direct care, or as a Case Manager Multiple state licensure (in addition to Compact License if applicable) or the ability to obtain multiple state nursing licenses Ability to navigate a Windows environment; use MS Outlook; and create, edit, save, and send documents in MS Word.

Ability to work the schedule listed onsite in our Cheektowaga, NY office You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe.

Employees must comply with any state and local masking orders.

In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:
Bachelor’s Degree Home Health experience A background in managed care Case Management experience Certified Case Manager (CCM) Experience / exposure with discharge planning

Careers with UnitedHealthcare.

Let’s talk about opportunity.

Start with a Fortune 10 organization that’s serving more than 85 million people already and building the industry’s singular reputation for bold ideas and impeccable execution.

Now, add your energy, your passion for excellence, your near-obsession with driving change for the better.

Get the picture?

UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they’re found across the globe.

We bring them the resources of an industry leader and a commitment to improve their lives that’s second to none.

This is no small opportunity.

It’s where you can do your life’s best work.(sm)

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.

Job Keywords: Case Manager, Nurse, RN, Registered Nurse, Tonawanda, Buffalo, Cheektowaga, New York, NY, Home Health, MCO, Managed Care, CCM, Certified Case Manager