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Call Center RN - Kingston, NY

UnitedHealth Group


Location:
Kingston, NY
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1777244
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Job Details


Call Center RN - Kingston, NY(Job Number:726998)
Description

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 with UnitedHealthcare Employer & Individual, 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. 

 

Training will be in Kingston, NY (Must be within an hour of the office)

Hours: M - F 8:00 - 4:30

Will train in the office for 8 - 10 weeks and then will work telecommute.

 

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

Job Call Center/Triage
Primary Location US-NY-Kingston
Other Location 
Organization E&I Natl Accts Empire
Schedule Full-time
Number of Openings 2
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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