Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

  We’re making a solid 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 Telephonic 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!

This is high volume, customer service environment. You’ll need to be efficient, productive, and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be patient-focused and adaptable to changes.

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 will be paid for by UHG.

This is a hybrid position. The typical schedule includes working on site in our office located at 11030 Optum Circle, Eden Prairie, MN 55344 three days/week and at home two days/week. 

The schedule for this position is Monday - Friday during standard business hours and includes working two nights per week until 8PM CST. 

Primary Responsibilities: 

• Making outbound calls to assess members' current health status
• Identifying gaps or barriers in treatment plans
• Providing patient education to assist with self-management
• Interacting with Medical Directors on challenging cases
• Coordinating care for members
• Making referrals to outside sources
• Coordinating services as needed (i.e., home health, DME, etc.)
• Educating members on disease processes
• Encouraging members to make healthy lifestyle changes
• Accurately and timely documentation of member progress 
• Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources

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: 

• Active, unrestricted RN license in the State of Minnesota
• Willingness and ability to obtain additional RN licenses as necessary
• 3+ years of RN experience in a hospital setting, acute care, direct care, or as a telephonic case manager for an insurance company
• Demonstrated computer proficiency including navigating a Windows environment; using MS Outlook; creating, editing, saving, and sending documents in MS Word; talking and typing at the same time; and using multiple applications simultaneously
• Willingness and ability to work on site in our Eden Prairie office an average of three days per week
• Access to secure, high-speed internet and a dedicated, distraction-free workspace at home

Preferred Qualifications: 

• Bachelor's degree
• Certified Case Manager (CCM)
• Managed care experience
• Case management experience
• Call center experience
• Experience with/exposure to discharge planning
• Experience with utilization review, concurrent review and/or risk management

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.    

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.