Registered Nurse Telephonic Case Manager - Atlanta, GA

Optum; Atlanta (GA); Hybrid; USD 75,000 - 110,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Optum is hiring a Telephonic Case Manager RN in Georgia. The role combines education, advocacy, and care coordination to support a diverse member population.

The position starts with onsite training, followed by a hybrid work arrangement requiring occasional in-person meetings at the Sandy Springs, Atlanta office. Requirements include an active Georgia RN license, 3+ years of RN experience, and ability to travel as needed.

Qualifications

• Active, unrestricted RN license in the State of Georgia.
• Willingness to obtain multiple state licensure within 60 days of hire.
• 3+ years RN hospital/acute care or telephonic case management experience.
• Computer proficiency with data entry and Windows (Word/Outlook/Excel).
• Must be willing to travel to Sandy Springs, GA office as needed.
• Designated quiet home workspace with secure high-speed internet.

Responsibilities

• Make outbound calls and take inbound calls to assess members' health status.
• Identify gaps or barriers in treatment plans and coordinate care.
• Provide patient education to support self-management.
• Collaborate with Medical Directors on challenging cases.
• Coordinate care for members and document findings.
• Educate members on disease processes and healthy lifestyle changes.
• Document and track findings for continuity of care.
• Make post-discharge follow-up calls to ensure service access.

Skills

RN license

Telephonic case management

Medical terminology

Data entry

Communication

Education

BSN (preferred)

CCM (preferred)

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

Primary Responsibilities

• Make outbound calls and take 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
• Make post-discharge calls to ensure the member receives the necessary services and resources

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 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