Telephonic Case Manager RN - Hybrid - Atlanta, GA

UnitedHealth Group; Sandy Springs (GA); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

UnitedHealth Group is seeking a Telephonic Case Manager RN in Georgia. This hybrid role begins with onsite training and transitions to work-from-home with periodic onsite meetings in Sandy Springs.

You will manage education, advocacy, and care coordination for a diverse member population, ensuring access to resources and adherence to treatment plans. The ideal candidate holds an active Georgia RN license, at least 3 years of relevant experience, and is comfortable traveling to the Sandy Springs

Qualifications

• Active, unrestricted RN license in GA.
• 3+ years RN experience in hospital/acute care or telephonic case management.
• Willingness to travel to the Sandy Springs office as needed.
• Strong computer/data entry skills and Windows proficiency.
• Ability to participate in on-site training and hybrid work schedule.

Responsibilities

• Make outbound and inbound calls to assess members' health status.
• Identify gaps or barriers in treatment plans and coordinate care.
• Educate members on disease processes and self-management.
• Collaborate with Medical Directors on challenging cases.
• Document findings and track member progress.
• Conduct post-discharge calls to ensure services are in place.

Skills

RN license

Data entry

Windows proficiency

Communication skills

Travel ability

Education

BSN

Tools

Word

Outlook

Excel

Job description

***$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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization 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!

This is a hybrid position that offers required onsite training followed by a work-from-home arrangement including occasional required meetings onsite in our Sandy Springs (Atlanta) office.

Onsite Training: Monday - Friday, 9am - 6pm EST for 3 weeks

Post-Training Schedule: 5 days/week, 11:30am - 9pm EST

Must be willing to attend on-site meetings at the Sandy Springs (Atlanta), GA office based on business needs.

Business Hours: 9am to 9pm EST

This position follows a hybrid schedule with three in-office days per week.

Primary Responsibilities

• Make outbound calls and taking 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
• Making post-discharge calls to ensure the member receives 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.

Qualifications - External

Required Qualifications

• 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

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