Remote Telephonic Case Manager RN


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Requisition Number: 2203603
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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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!

Training Schedule: Monday thru Friday (9am thru 6pm EST) for 5 weeks

Remote Schedule Post Training

Optional Shift: 8-hour (5 days 8am-5pm) or 10-hour (4 days 8am-8pm)  in respective time zone

*Business Hours: 9am to 9pm EST

 If you reside within the states of ID, WY, ND, SD, NM, NE, KS, OK, IA, MO, AR, LA, MS, AL, GA, SC, NC, WV, OH, or IN you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

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.

Years of post-high school education can be substituted/is equivalent to years of experience

Required Qualifications:     

  • A current, unrestricted RN compact license
  • 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)

Preferred Qualifications:    

  • Bilingual or ability to read, write, and speak in Spanish
  • 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

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

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.