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Bilingual Registered Nurse Case Manager - Atlanta, GA

United Health Group Inc.
Full-time
On-site
Kennesaw, Georgia, United States
Challenge brings out the best in us.It also attracts the best.That's why you'll find some of the most amazingly talented people in health care here.Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale.This is the place to do your life's best work.(sm)As a Case Manager in our Atlanta office, you will engage members through telephonic Case Management while ensuring they are receiving the best care.We are currently hiring for the following shifts (8-hour or 10-hour shifts, ending at 9:00 pm).Two weekend days each month will also be required.This position will require active and unrestricted Nursing licensure in multiple US States.Selected candidate must be willing and able to obtain and maintain multiple state licensure within 12 months.(Application fees and filing costs paid for by UHG)This is a telephonic role in a fast-paced call center environment.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/Pharmacists on challenging cases Coordinating care for members i.e.Partnering with internal and external vendors including, Behavioral Health, Wellness, Social Workers, EAP 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 Communication with customers and/or account management teams Collaboration with Primary Care and Specialty ProviderRequired Qualifications: A current, unrestricted RN license in the State of Georgia Bilingual (English/Spanish) skills Computer proficiency, to include strong data entry skills and the ability to navigate a Windows environment 3 years of experience in a hospital setting, acute care, direct care experience OR experience as a telephonic Case Manager for an insurance company 1 year of clinical experience dealing with adult patients Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses within 12 months.Preferred Qualifications: BSN A background in managed care Case or disease management experience Experience working with Medicare / geriatric patients Experience / exposure with discharge planning Certified Case Manager (CCM) Medical / Surgical, Home Health, Diabetes or Cardiac experience or certificationCareers with Optum.Here's the idea.We built an entire organization around one giant objective; make the health system work better for everyone.So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential.For you, that means working on high performance teams and the ability to positively impact the lives of the members we serve.Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)Diversity creates a healthier atmosphere: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.UnitedHealth Group is a drug-free workplace.Candidates are required to pass a drug test before beginning employment.Job Keywords:Registered Nurse Case Manager, RN, Atlanta, GA, GeorgiaPosted by StartWire..
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