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in Atlanta, GA

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Hours Full-time, Part-time
Location Atlanta, GA
Atlanta, Georgia

About this job

Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do 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 (8-hour or 10-hour shifts, ending at 9:00 pm). Two weekend days each month will also be required. We are also hiring for an 8 or 10 hour shift that will end at midnight. 


 


Want to learn more before applying for this role? Click here to view the Realistic Job Preview:


 


Primary Responsibilities:




  • 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

  • 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

Requirements

Required Qualifications:




  • A current, unrestricted RN license in the State of Georgia

  • 3+ years of experience in a hospital setting, acute care, direct care experience OR experience as a telephonic Case Manager for an insurance company

  • 1+ year of clinical experience dealing with adult patients

Preferred Qualifications:



  • BSN

  • A background in managed care

  • Case or disease management experience

  • Experience working with Medicare/geriatric patients

  • Experience/exposure with discharge planning

  • Certified Case Manager (CCM)

  • Bilingual (Spanish/English) skills

  • Medical/Surgical, Home Health, Diabetes or Cardiac experience or certification

  • Computer proficiency, to include strong data entry skills and the ability to navigate a Windows environment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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: 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.


 


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


 


 


Job Keywords: Case Manager, RN, Registered Nurse, BSN, Atlanta, GA, Georgia