Telephonic Case Manager RN

7 days ago


Atlanta, Georgia, United States UnitedHealth Group Full time
Telephonic Case Manager RN Job Description

At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Telephonic Case Manager RN, you'll play a critical role in supporting our diverse member population with education, advocacy, and connections to the resources they need to feel better and get well.

Key Responsibilities:
  • Make outbound calls and take inbound calls to assess members' current health status
  • Identify gaps or barriers in treatment plans and provide patient education to assist with self-management
  • Interact with Medical Directors on challenging cases and coordinate care for members
  • Educate members on disease processes and encourage healthy lifestyle changes
  • Document and track findings, including making post-discharge calls to ensure members receive necessary services and resources
Requirements:
  • Active, unrestricted RN license in the State of Georgia
  • 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, including 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
Preferred Qualifications:
  • 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

We're an equal opportunity employer and welcome diversity in our workplace. If you're passionate about making a difference in people's lives and have the skills and experience we're looking for, we encourage you to apply.



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