Remote Hybrid Telephonic Case Manager RN – Atlanta, GA

Requisition Number: 2138028
Job Category: Nursing
Primary Location: Atlanta, GA
(Remote considered)

$5,000 Sign-on Bonus for external candidates 

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.(sm)

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!

Onsite Training: Monday thru Friday (9am thru 6pm EST) for 2 weeks
Flexible Hybrid Schedule Post Training with option to move to full time telecommute when fully trained
Optional Shift: 8-hour (5 days) or 10-hour (4 days)
*Business Hours: 9am to 9pm EST
If you are located in Atlanta, GA, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges. Must be able to work in Atlanta area office 3 days a week.

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

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• A current, unrestricted RN license in the State of Georgia
• 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)
• Willingness to obtain multiple state and/or compact licensure within 60 days of hire
• Ability to travel to the Sandy Springs Atlanta, GA office

Preferred Qualifications:

• BSN
• Certified Case Manager (CCM)
• Medical / Surgical, Home Health, Diabetes or Cardiac experience or certification
• A background in managed care
• Case or disease management experience
• Experience working with Medicare / geriatric patients
• Experience / exposure with discharge planning

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

**PLEASE NOTE** The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis (“Internal Candidates”) are not eligible to receive a Sign On Bonus.