Remote RN: Complex Care Case Manager

UnitedHealth Group; Atlanta (GA); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group's Optum division seeks a Telephone Case Manager RN to support a diverse member population with education, advocacy, and connections to resources. This remote, nationwide role may impact millions by improving care and outcomes through proactive outreach and coordinated care.

Schedule is Monday–Friday, 8 AM–8 PM, with telecommuting flexibility from anywhere in the U.S. Strong nursing background, case management experience, and excellent communication are essential for success.

Qualifications

• Current, unrestricted RN license in the state you reside in.
• Compact RN license required; reside in a Compact license state.
• 10+ years of experience in case management, hospital, acute care or direct care settings.
• Ability to type and navigate a Windows based environment.
• BSN.
• Certified Case Manager (CCM).
• Background in managed care.
• Case management experience.
• Experience or exposure to discharge planning.
• Experience in utilization review, concurrent review, or risk management.
• Experience in a telephonic role.

Responsibilities

• Make outbound calls and receive inbound calls to assess members' current health status
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• Make referrals to outside sources
• Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
• Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels

Skills

RN license

Windows navigation

Education

BSN

Certified Case Manager (CCM)

Job description

UnitedHealth Group's Optum division seeks a Telephone Case Manager RN to support a diverse member population with education, advocacy, and connections to resources. This remote, nationwide role may impact millions by improving care and outcomes through proactive outreach and coordinated care.

Schedule is Monday–Friday, 8 AM–8 PM, with telecommuting flexibility from anywhere in the U.S. Strong nursing background, case management experience, and excellent communication are essential for success.