Case Manager, RN - Telephonic role, regular M-F schedule

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.Take a break from direct care while still using your nursing skills to help patients! At UnitedHealth Group, we are a healthy, growing business. We are a Fortune 25 company that has been honored in a number of ways. UnitedHealth Group was ranked number 14 on the 2008 “BusinessWeek 50 Rankings,” a list of top performing companies in each of the 10 sectors that make up the Standard & Poors 500 and named “America’s most admired company for health care innovation” in Fortune’s most recent survey. Our UnitedHealthcare business has received accolades, too. UnitedHealthcare was named South Florida Hispanic Chamber of Commerce 2007 Healthcare Provider of the Year and recognized by the National Committee for Quality Assurance for helping reduce health care disparities for its Asian-Language Provider Directories. These honors serve as a reminder of the many people at UnitedHealth Group whose talent and dedication are helping to make health care work better, and underscore the Company’s work to advance social responsibility initiatives. Sound like a rare combination? Join us and you’ll be inspired to discover your own mix of professional advantages and personal rewards. We are currently seeking an experienced RN with a solid clinical background to become our newest Telephonic Case Manager in our Trumbull, CT or White Plains, NY office. This promising role offers the opportunity to explore multiple areas of nursing while stepping away from direct care and working a regular Monday-Friday schedule. Additionally, the chosen candidate will enjoy a supportive, team-oriented atmosphere and plenty of room for future advancement. If you are ready to explore your full potential with a well-respected Fortune 50 Company, we invite you to apply today The Telephonic Case Manager will make medical determinations on the appropriateness of hospitalizations while focusing on the following key responsibilities: Using clinical guidelines and Milliman criteria to authorize payment Reviewing benefits and contacting insurance companies and related vendors Maintaining documentation using medical codes Adhering to clinical methodologies, policies and procedures The requirements for this role are as follows: An RN with a current and unrestricted license in their state of residence Substantial clinical experience in acute care or home healthcare A case management or discharge planning background Computer proficiency Excellent communication skillsAdditional assets include: Clinical experience in med surg/ICU CCM (Certified Case Manager) certification Familiarity with Milliman guidelines A Bachelor’s degreeUnitedHealth Group offers a full range of comprehensive benefits to full-time and part-time employees, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. Key words: Case manager, RN, Discharge Planning, case management, telephonic case manager, telephonic case management, registered nurse