Rn Field Case Manager (Kidney Resource Services) - Chicago, Il

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 you are located in Chicago, IL, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
• Travel to complete in home visits or visit members in other locations
• Travel to participate in care planning in facilities & provider offices
• Use nursing assessment skills to identify medical, behavioral, social determinates of health gaps or barriers in treatment plan
• Provide condition education, conduct medication reviews, assist with advance planning and connect to community resources
• Demonstrate ability to establish trusting relationships with members & caregivers and identify innovative strategies to improve and maintain engagement
• Participate in interactions with program Medical Directors, treating providers and community resources
• Complete in- patient & post-discharge visits to ensure that discharged members receive the necessary services and resources to focus on reducing readmissions
• Documenting and track findings; strong computer and software navigation skills are critical
• Complete and maintain field based safety trainings, CPR certification and health screenings

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 license in the state of residence
• Multiple state licensures (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses
• 3+ years of experience in a direct care setting
• Renal, Chronic Kidney Disease or Dialysis Care experience as a main focus of your job
• Computer proficiency, to include strong data entry, utilizing MS Office (Word, Excel, PowerPoint and Outlook), and the ability to type and talk at the same time while navigating a Windows environment
• Proven ability to navigate successfully in a metrics driven workplace while remaining focused on delivering excellence
• Reside in a location that can receive a UnitedHealth Group approved high speed internet connection or can leverage existing high-speed internet service
• Ability to flex schedule to accommodate changing priorities (may include some evening hours depending in member availability and business need)
• Access to reliable transportation and the ability to accommodate daily field-based travel within the service delivery area (up to 75%)

Preferred Qualifications:

• BSN or higher level of education
• Certified Case Manager (CCM)
• Diabetic Educator experience
• Field-based or telephonic case management experience
• Experience with discharge planning
• Experience in utilization review, concurrent review and/or risk management
• Experience working within a managed care environment
• Bilingual Skills (fluency in Spanish, Mandarin, Chinese, etc.)

• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.