RN Case Manager Telephone Advice Nurse - Remote

Optum NV is seeking an RN Case Manager Telephone Advice Nurse to join our team in Las Vegas, NV. 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. 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 in improving healthcare through the power of people and intelligent technologies 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:

• Assess and triage immediate health concerns
• Take in-bound calls and place out-bound calls as dictated by consumer and business needs
• Manage utilization through education
• 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 heath care cost
• Coordinate services and referrals to health programs
• Prepare individuals for physician visits
• Identify problems or gaps in care offering opportunity for intervention
• Assist members in sorting through their benefits and making choices
• 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
• 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
• Proven intermediate or expert level of proficiency with being able to assess and identify needs and being able to influence and motivate
• Demonstrated solid inbound and outbound telephonic skills

Preferred Qualifications:

• Bachelor's degree in Nursing
• Nursing experience in an urgent care, emergency department (ED), intensive care unit (ICU), home health, or other high-acuity patient care setting
• Coaching and/or decision support experience
• Managed care experience
• Proven understanding of change and ability to move members along the continuum of change
• Proven conflict management skills
• 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). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and 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.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.