Telephonic Case Manager RN Medical or Oncology - Remote
About the position
The Telephonic Case Manager RN Medical/Oncology role at Optum involves identifying, coordinating, and providing appropriate levels of care for patients. This position is responsible for clinical operations and medical management activities across the continuum of care, including assessing, planning, implementing, coordinating, monitoring, and evaluating patient care. The role emphasizes case management, coordination of care, and medical management consulting, with a focus on improving health outcomes and advancing health equity on a global scale. This is a full-time remote position with a standard work schedule from Monday to Friday, 8am to 5pm.
Responsibilities
?? Make outbound calls and receive inbound calls to assess members' current health status.
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?? Identify gaps or barriers in treatment plans.
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?? Provide patient education to assist with self-management.
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?? Make referrals to outside sources.
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?? Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction.
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?? Support members with condition education, medication reviews, and connections to resources such as Home Health Aides or Meals on Wheels.
Requirements
?? Current, unrestricted RN license in the state of employment.
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?? Active Compact RN License.
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?? 3+ years of experience in a hospital, acute care, or direct care setting.
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?? Proven ability to type and navigate a Windows-based environment.
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?? Access to high-speed internet (DSL or Cable).
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?? Dedicated work area established that is separated from other living areas and provides information privacy.
Nice-to-haves
?? BSN
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?? Certified Case Manager (CCM)
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?? 1+ years of experience within Medical/Oncology case management experience.
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?? Experience or exposure to discharge planning.
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?? Experience in a telephonic role.
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?? Background in managed care.
Benefits
?? Comprehensive benefits package
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?? Incentive and recognition programs
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?? Equity stock purchase
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?? 401k contribution
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