UnitedHealth Group Call Center RN -Telecommute Kingston, NY in Kingston, New York

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)

As a Call Center RN sometimes referred to as an Inpatient Care Manager, you'll follow member cases and impact members' quality of care at every touch point along their inpatient stay. Ever-mindful of matching member needs with appropriate levels of care, you'll also focus on metrics / goals, such as managing bed days. Working to achieve discharge with member benefits in mind, you'll also provide referrals for Transitional Case Management nurses or Disease Management nurses that serve as a connection to proper outpatient and / or home based care. The result. Enhanced system efficiency and performance, balanced with optimal regard and respect for the care we provide to members.

If you are located within 60 miles of Kingston, New York, you will have the flexibility to telecommute* as you take on some tough challenges. Candidates must be available to train in the office located at 505 Boices Lane, Kingston, NY for 6 weeks with ability to telecommute after training. Work hours will be 8:00 am - 4:30 pm Monday- Friday.

Primary Responsibilities:

  • Work with hospital staff, via telephone, fax and e-mail, in the coordination of care for members ranging from low acuity to catastrophic, which may include stays of several months

  • Help coordinate appropriate care to members from admittance to discharge and work toward holistic discharge, all with the members' benefits plan in mind

  • Perform telephonic medical records review for Commercial and Medicare members, and telephonic follow-up with members as required

  • Balance metrics / goals (bed days, treatment and discharge) with a focus on quality care for members

  • Complete electronic documentation daily to ensure essential data is shared system-wide

  • Maintain flexibility and willingness to go above and beyond to meet members' needs

  • Attend routine team meetings and offer creative solutions and innovative approaches to further enhance the clinical model

Required Qualifications:

  • Current unrestricted RN license for the state of New York

  • 3+ years of applicable clinical experience in a hospital, SNF or MD office

  • Ability to navigate a Windows based environment and create, edit, save and send documents utilizing Microsoft Word. Ability to navigate Outlook and conduct Internet searches

  • Beginner with Microsoft Excel

Preferred Qualifications:

  • Experience in OB/GYN or In-vitro Fertilization Knowledge

  • Coaching, motivational interviewing and/or decision support experience

  • Previous experience in a telephonic role

  • Home Care Experience

  • Ability to understand readiness for change and ability to move members along the continuum of change

  • Ability to work independently toward established priorities, metrics and goals

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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.

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