RN Case Manager Telephone Advice Nurse - Remote in Nevada

RN Case Manager Telephone Advice Nurse

$10,000 Sign On Bonus for External Candidates

Optum NV is seeking a RN Case Manager Telephone Advice Nurse to join our team in Nevada. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

If you live in the state of Nevada, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Provide health education and coaches consumers on treatment alternatives to assist them in best decision making
• Support consumers in selection of best physician and facility to maximize access, quality, and to manage health care cost
• Coordinate services and referrals to health programs
• Prepare individuals for physician visits
• Assess and triage immediate health concerns
• Manage utilization through education
• Identify problems or gaps in care offering opportunity for intervention
• Assist members in sorting through their benefits and making choices
• Take in-bound calls and place out-bound calls as dictated by consumer and business needs
• Special projects, initiatives, and other job duties as assigned

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 licensure
• 3+ years of Clinical RN experience, resulting in excellent clinical skills and critical thinking
• Proven solid inbound and outbound telephonic skills
• Proven intermediate or expert level of proficiency with being able to assess and identify needs and being able to influence and motivate
• Intermediate computer skills (Microsoft Word, Outlook and Internet) with the ability to navigate a Windows environment and the ability to create, edit, save and send documents utilizing Microsoft Word

Preferred Qualifications:

• Bachelor's degree in Nursing
• Coaching and/or decision support experience
• Managed care experience
• Proven conflict management skills
• Proven understanding of change and ability to move members along the continuum of change
• Proven ability to work under pressure and appropriately prioritize responsibilities

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

OptumCare is an Equal Employment Opportunity employer qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.