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 to start Caring. Connecting. Growing together.

If you are located in the Tampa Bay OR Orlando, FL market, you'll enjoy the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:

• Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer
• Represents the Company in a professional manner, following all Company policies and procedures
• Uses, protects, and discloses patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Performs telephonic Case Management, which includes patient evaluation and education regarding disease and early symptom identification
• Participates in the identification, collection, and analysis of data for potential enrollment of members to the Disease Management program
• Applies critical thinking skills and problem-solving techniques to the disease management process
• Accurately conducts a thorough and objective holistic evaluation of the patients' current status, including psychosocial, physical, financial, and educational needs, prognosis, and past and present treatment course and services
• Partners with physicians for effective clinical management and utilization of resources for patient population
• Provides clinical direction and coordination to the interdisciplinary team to formulate and implement a plan of care
• Maintains current knowledge of disease processes, available resources, and treatment options appropriate to patient population
• Consistently documents all activities according to policy, including automated systems
• Maintains ongoing communication of the action plan and timeline to the center for implementation
• Identifies opportunities and readily participates in performance improvement activities
• Acts as a liaison for members as needed
• Ability to educate member as well as clinic personnel on the DM Program
• Performs additional duties as assigned

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:

• Valid Florida State LPN or RN license
• 5+ years of experience in the healthcare field
• Experience with Microsoft Office (Word, Excel, Outlook)

Preferred Qualifications:

• CCM certification
• 2+ years of Case Management/Disease Management experience
• Critical Care experience
• Ability to understand and implement case and disease management philosophy and principles
• Ability to explain medical instruction to members and their families
• Ability to establish and maintain effective working relationships with Members and their families, Health Plans, and local personnel
• Bilingual Spanish

*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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

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