Telephonic Case Manager RN
2 weeks ago
We are seeking a skilled and compassionate Telephonic Case Manager RN to join our team at UnitedHealth Group. As a Telephonic Case Manager RN, you will play a vital 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
- 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
- Make post-discharge calls to ensure the member receives the necessary services and resources
- 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, 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
- 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 are committed to creating a diverse and inclusive work environment that reflects the communities we serve. 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.
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