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in Atlanta, GA
Telephonic RN Case Manager, Office-based in Atlanta - Full-time / Part-time
Hours | Full-time, Part-time |
---|---|
Location | Atlanta, GA Atlanta, Georgia |
About this job
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)
As a Case Manager in our Atlanta (Dunwoody) office, you will review patient status over the phone while ensuring they are receiving the best care. We are currently hiring for evening shifts (Noon-9 or 12:30 - 9pm, Monday through Friday plus Saturday or Sunday daytime rotations every other week. We also offer the ability to work 4-10 hour shifts, which will include 3 week days and 1 weekend day each week.
Primary responsibilities include:
- Making outbound calls to assess members' current health status
- Identifying gaps or barriers in treatment plans
- Providing patient education to assist with self management
- Interacting with Medical Directors on challenging cases
- Coordinating care for members
- Making referrals to outside sources
- Coordinating services as needed (home health, DME, etc)
- Educating members on disease processes
- Encouraging members to make healthy lifestyle changes
- Documenting and tracking findings
- Making post-discharge calls to ensure that discharged member receive the necessary services and resources
OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.
By providing 58 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
Requirements
Requirements:
- A current, unrestricted RN license in the State of Georgia
- 3+ years experience in a hospital setting, acute care, direct care experience OR experience as a telephonic Case Manager for another insurance company; at least one year of clinical experience must be dealing with adult patients
- Computer proficiency, to include strong data entry skills and the ability to navigate a Windows environment
Additional assets include:
- BSN
- A background in managed care
- Case or disease management experience
- Experience/exposure with discharge planning
- Bilingual (Spanish/English) skills
- Medical/Surgical, Home Health, Diabetes or Cardiac experience is strongly preferred (certification in one of those specialties is a plus)
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing
Key Words: RN, Registered Nurse, Nursing, Atlanta, Georgia, Case Manager