Remote Pre Litigation Case Manager Jobs in Georgia

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!

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

New Hire Training: Monday - Friday, 9:00 am - 6:00 pm EST for 3 weeks and then Ramp Up is Monday - Friday, 10:00 am - 7:00 pm EST for 4-6 months

Post-Training Schedule: 5 days/week, 12:00 pm - 9:00 pm EST or 4 days/week, 10:00 am - 9:00 pm EST

Business Hours: 9:00 am to 9:00 pm EST

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.

Required Qualifications:

• Active, unrestricted RN license in the state of residence
• Ability  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)
• 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
• Demonstrated background in managed care

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.