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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 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.   
 
This position will require active and unrestricted Nursing licensure in multiple US States.  Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)   
 
This is a telephonic role in a fast-paced call center environment.
 
Primary Responsibilities:

Making outbound calls and taking inbound 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
Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses
Preferred Qualifications:

BSN
Oncology experience
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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action 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.
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