RN Telephonic Case Manager, Kidney Resource Services - Remote
About the position As a Registered Nurse Telephonic Case Manager for the Kidney Resource Services program, you will be responsible for clinical operations and medical management activities across the continuum of care. This includes assessing, planning, implementing, coordinating, monitoring, and evaluating care for members. You will provide health education, coaching, and treatment decision support, working remotely to improve health outcomes for patients with chronic kidney disease.
Responsibilities
- Making outbound calls to assess members' current health status
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- Identifying gaps or barriers in treatment plans
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- Providing patient education to assist with self-management
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- Interacting with Medical Directors on challenging cases
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- Coordinating care for members and services as needed (home health, DME, etc.)
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- Educating members on disease processes
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- Encouraging members to make healthy lifestyle changes
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- Utilizing Milliman criteria to determine if patients are in the correct hospital setting
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- Making 'welcome home' calls to ensure that discharged members receive the necessary services and resources
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- Documenting and tracking findings
Requirements
- Active RN license in current state of residence with the ability to qualify for additional state licenses as requested
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- 2+ years of nursing experience in a hospital, acute care, or direct care setting
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- Renal, Chronic Kidney Disease or Dialysis Care experience as a main focus of your job
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- Computer proficiency utilizing MS Office (Word, Excel, PowerPoint and Outlook)
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- Access to dedicated workspace from home for in home office set up
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- Ability to work schedule listed
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- Reside in a location that can receive a UnitedHealth Group approved high speed internet connection
Nice-to-haves
- BSN
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- Active New York RN license
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- Certified Case Manager (CCM)
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- Diabetic educator experience
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- ICU, Cardiology or Critical Care experience
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- Telephonic case management experience
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- Experience with discharge planning
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- Solid working knowledge of hypertension and/or diabetes
Benefits
- 401(k) matching
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- comprehensive benefits package
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- incentive and recognition programs
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- equity stock purchase
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