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RN Case Manager Telephone Advice Nurse - Remote
About the position
Optum NV is seeking an RN Case Manager Telephone Advice Nurse to join its team in Las Vegas, Nevada. The role is part of Optum Care Delivery, a clinician-led care organization focused on improving healthcare through people and technology. Nevada-based employees may work remotely, subject to UnitedHealth Group’s Telecommuter Policy. The nurse assesses and triages health concerns by phone, provides education and decision support, helps consumers choose physicians and facilities, coordinates referrals and health programs, and assists members with benefits and care options. The role also includes identifying gaps in care, preparing individuals for physician visits, and supporting special projects and initiatives. The hourly pay range is \$29–\$52 based on full-time employment. Pay depends on factors including local labor markets, education, work experience, and certifications. Benefits include a comprehensive benefits package, incentive and recognition programs, an equity stock purchase plan, and a 401(k) contribution, subject to eligibility requirements. Candidates must pass a drug test before beginning employment.
Responsibilities
- Assess and triage immediate health concerns.
- Take inbound calls and place outbound calls according to consumer and business needs.
- Manage utilization through education.
- Provide health education and coach consumers on treatment alternatives to support informed decisions.
- Support consumers in selecting physicians and facilities to maximize access and quality while managing healthcare costs.
- Coordinate services and referrals to health programs.
- Prepare individuals for physician visits.
- Identify problems or gaps in care that offer opportunities for intervention.
- Assist members in understanding their benefits and making choices.
- Perform special projects, initiatives, and other assigned job duties.
Requirements
- Current, unrestricted RN licensure.
- At least 3 years of clinical RN experience, with excellent clinical skills and critical thinking.
- Intermediate computer skills, including Microsoft Word, Outlook, and Internet use; ability to navigate a Windows environment and create, edit, save, and send documents using Microsoft Word.
- Intermediate- or expert-level proficiency in assessing and identifying needs and influencing and motivating others.
- Demonstrated solid inbound and outbound telephone skills.
Nice-to-haves
- Bachelor's degree in Nursing.
- Nursing experience in urgent care, an emergency department, an intensive care unit, home health, or another high-acuity patient care setting.
- Coaching and/or decision support experience.
- Managed care experience.
- Understanding of change and ability to move members along the continuum of change.
- Conflict management skills.
- Ability to work under pressure and appropriately prioritize responsibilities.
Benefits
- Comprehensive benefits package.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution.
