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  • Atlanta, GA

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RN Telephonic Case Manager - Transplant Services (Bilingual Spanish Required)

UnitedHealth Group • Atlanta, GA

Posted 11 days ago

Job Snapshot

Full-Time
Healthcare - Health Services
Health Care, Nurse

Job Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
Primary Responsibilities:
  • Make outbound 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
  • Make referrals to outside sources
  • Coordinate services as needed (home health, DME, etc.)
  • Educate members on transplant processes
  • Encourage members to make healthy lifestyle changes
  • Document and track findings
  • Utilize Milliman criteria to determine if patients are in the correct hospital setting
  • Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources

Required Qualifications:
  • Active, unrestricted RN license in your state of residence

  • 2+ years of clinical nursing experience in a hospital setting, acute care or direct care environment 

  • Proven proficiency utilizing Microsoft Word, with the ability to navigate a Windows environment, Excel (trainable) and Outlook

  • Multiple state licensures (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required

  • Bilingual Skills (fluency in Spanish/English)

  • Must reside in a location that can receive a UnitedHealth Group approved high speed internet connection or can leverage existing high-speed internet service

Preferred Qualifications:
  • Bachelor's Degree in Nursing

  • Previous case management experience

  • Previous organ and/or bone marrow transplant experience

  • Experience working with Milliman Care Guidelines (MCG)

  • Certified Case Manager (CCM)

  • Residence in CST, MST, PST time zones preferred

Careers 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 against sophisticated challenges that matter. 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, RN, case manager, case management, managed care, Medicare, transplant, telecommute, Spanish, bilingual

Job ID: 2551_717741_1
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