Registered Nurse Case Manager

UnitedHealth Group•Atlanta, GA

2d•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We’re making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry forward. As a Telephonic Case Manager RN, you’ll support a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

Active, unrestricted RN license in the state of residence
Willingness to obtain multiple state and/or compact licensure within 60 days of hire
3+ years of RN experience in a hospital setting, acute care, direct care experience OR experience as a telephonic Case Manager for an insurance company
Computer proficiency, to include solid data entry skills and the ability to navigate a Windows environment (Word, Outlook, Excel, and Internet)
Ability to travel to the Sandy Springs (Atlanta), GA office based on business needs
Designated quiet work space and access to install secure high speed internet via cable/DSL in home

Nice To Haves

BSN
Certified Case Manager (CCM)
Medical / Surgical, Home Health, Diabetes, Cardiac, or Emergency Room experience
Experience with acute chronic disease management for a variety of age groups
Telephonic case or disease management experience
Experience with / exposure to discharge planning
A background in managed care

Responsibilities

Make outbound calls and taking inbound calls to assess members' current health status
Identify gaps or barriers in treatment plans
Provide patient education to assist with self-management
Interact with Medical Directors on challenging cases
Coordinate care for members
Educate members on disease processes
Encourage members to make healthy lifestyle changes
Document and track findings
Making post-discharge calls to ensure the member receives the necessary services and resources