Humana has flagged the Case Management Registered Nurse job as unavailable. Let’s keep looking.

Telephonic Case Manager RN (NCLEX) - San Juan, PR

Optum

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.

If putting a smile on someone’s face puts one on yours, you belong on our team. Here at Optum Puerto Rico Operations, we’ve brought together teams of incredibly compassionate and positive people to help serve our members or providers when they reach out to us with questions. Your helpful personality combined with our support, training and development will ensure your success. This is no small opportunity. This is a chance to leverage your compassion for others and build a rewarding career.

These roles identify, coordinate, or provide appropriate levels of care. 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.

Primary Responsibilities:

  • Making outbound calls and taking inbound 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
  • Educating members on disease processes
  • Encouraging members to make healthy lifestyle changes
  • Documenting and tracking findings
  • Making post - discharge calls to ensure that discharged member receive the necessary services and resources
  • ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***

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:

  • Associate Degree or Bachelor’s degree in Nursing
  • Registered Nurse with Puerto Rico Licensure
  • NCLEX Certification 
  • 3+ years of clinical experience
  • Windows PC navigation proficiency or higher and ability to navigate in multiple systems
  • Bilingual (Spanish / English) skills

Preferred Qualifications:

  • Unrestricted NCLEX licensure specially in the state of FL, PA and IL
  • Certified Case Manager (CCM)
  • Medical / Surgical, Home Health, Diabetes or Cardiac experience or certification
  • Case Management experience
  • Oncology experience
  • Experience working with Medicare / geriatric patient
  • Experience / exposure with discharge planning

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.

Read Full Description
Confirmed 8 days ago. Posted 13 days ago.

Discover Similar Jobs

Suggested Articles