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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


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Telephonic RN Case Manager, DUR Program - Eventual Telecommute - Greensboro, NC

UHG - Greensboro, North Carolina

Posted: 10/28/2018

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
***Training will be a full 40 hours per week for 6 weeks, at regular daytime business hours, Monday - Friday onsite in our Greensboro facility***

Primary Responsibilities:
  • Making outbound calls to providers in the Drug Utilization Review program
  • Interacting with Medical Directors on challenging cases
  • Coordinating care for members
  • Making referrals to outside sources
  • Documenting and tracking findings
  • Managing the members holistically

Required Qualifications:
  • Active, unrestricted RN licensure in state of North Carolina
  • 2+ years of experience in any clinical setting (acute care preferred)
  • Proficient level of experience with Microsoft Word and Excel, and the ability to navigate a Windows environment
  • Must be willing to obtain Certification in Case Management (CCM) within 30 months of being employed with the organization (UHG/Optum will cover associated costs)
Preferred Qualification:
  • Bachelor's Degree in Nursing
  • Must live within a commutable distance of our Greensboro, NC office
  • Ability to perform in a fast paced, high demand environment
  • Adapts well to frequent change in process
  • Previous Case Management or other managed care experience
  • Certified Case Manager (CCM)
  • Experience working with the Medicare guidelines and regulations
  • Hospice, Pain Management or Oncology experience
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.
Keywords: RN, nurse, case manager, telephonic, Medicare, DUR, drug utilization, NC, Greensboro

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