Telephonic Case Manager RN – Hybrid in Atlanta, GA

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 they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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. Due to business needs, we are not able to offer alternatives to the following schedules:

 

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 as business dictates.

 

Business Hours: 9am to 9pm 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 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 including 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 for meetings as business dictates
• 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
• Experience with / exposure to discharge planning
• Telephonic case or disease management experience
• A background in managed care