UnitedHealth Group Associate Nurse Case Manager - Taguig City, NCR in Taguig City, Philippines
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 and help people live healthier lives while doing your life's best work.(sm) The Nurse Care Manager serves as a key member of the UnitedHealthcare Global Team (UCHG) utilizing evidenced based practice to assess UHCG member’s medical care needs, treatment plans of healthcare providers and the ability of the local healthcare systems to provide high quality and cost effective care in various countries across the world.
UHCG Nurse Care Manager also works collaboratively with the UHCG Medical Director and internal team members to establish and implement plans for the patient’s safe evacuation to a location where appropriate care is available when it is determined that care needs cannot be met in the patient’s location.
Working together with the Medical Director the UHCG Care manager facilitates seamless provision of healthcare services to individual members helping them live healthier lives wherever they may be located across the globe. Primary Responsibilities: Triage of global medical cases, including assessment and communication of case direction to the logistics specialist related to continued monitoring of care being provided locally or the need for evacuation Along with the UHCG Medical Director the RN Care Manager works collaboratively with international and domestic healthcare providers and internal colleagues to assure high quality cost-effective care management, proactive discharge planning, optimize reduce readmission risk and optimize patient health Initiates and maintains verbal and/or electronic communication with all appropriate stakeholders (patients, providers and clients) related to the status and action plans for the case Adheres to clinical documentation standards to ensure efficient case review, communication with team members and to facilitate timely and efficient determinations and claims adjudication Participates in the management of complex medical cases and collation of clinical information to assess and expedite assessment of care needs.
This includes obtaining and reviewing verbal and written medical reports/records Pro-actively engages UHCG Medical Director to review, discuss and develop solutions for complex member situations Participates in routine team meetings, training and ongoing educational activities as well as policy and procedure development Engages in provider and facility quality assurance review, policy and procedure development as determined by business need Required Qualifications: Registered Nurse with an active United States license At least 2 years of utilization management or case management experience in managed care At least 5 years of experience in medical-surgical inpatient acute care Excellent verbal and written communication skills in English Strong problem solving, organizational and crisis management skills High levels of emotional and social intelligence Ability to function efficiently and foster team cohesion in an international virtual environment Ability to provide empathetic and courteous service while working effectively with co-workers face to face and/or remotely in dynamic and fast-paced emergent situations Cultural competence and awareness of the challenges of healthcare delivery in the global arena and the potential impact on the health and safety of expatriates, business travelers and UHC Global members Preferred Qualifications: Bachelor of Science in Nursing International travel experience Experience in international healthcare and or air medical transport Familiarity with MCG care guidelines Managerial background Fluency in a second language Careers with Optum.
Here's the idea.
We built an entire organization around one giant objective; make health care work better for everyone.
So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.
Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential.
For you, that means working on high performance teams against sophisticated challenges that matter.
Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm) Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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.
Optum is a drug-free workplace.
© 2017 Optum Global Solutions (Philippines) Inc.
All rights reserved. Job Keywords: Associate Nurse Case Manager, Case Manager, USRN, US Registered Nurse, US Nurse, United States Nurse, United States Registered Nurse, RN, Registered Nurse, Utilization Management, Case Management, Managed Care, Medical-Surgical, Inpatient, Acute Care, Taguig City, NCR, National Capital Region 821c7d96-1d76-4c5a-8977-d415b6b76a45
Associate Nurse Case Manager - Taguig City, NCR Philippines-Taguig City 721481