Registered Nurse Telephonic Case Manager - Atlanta, GA

Optum; Sandy Springs (GA); Hybrid; USD 65,000 - 85,000; Full time

Benefits offered by this job

Sign-On Bonus of $5,000

Comprehensive benefits

Job summary

Optum is seeking a hybrid RN in Sandy Springs, Georgia, to manage patient health through assessments and education. The role involves outbound and inbound calls to assess health statuses, identify barriers, and encourage lifestyle changes.

The ideal candidate will have an active RN license in Georgia and at least 3 years of nursing experience in acute care or as a telephonic Case Manager. A focus on developing patient self-management skills is vital, along with a supportive work environment that values performance.

Qualifications

• Must have a valid and unrestricted RN license in Georgia.
• 3+ years of relevant nursing experience required.
• Computer literacy and data entry skills are essential.

Responsibilities

• Assess members' health status through calls.
• Identify treatment plan barriers and gaps.
• Educate patients on disease management and lifestyle changes.

Skills

Active RN license in Georgia

3+ years RN experience in hospital setting or as Case Manager

Computer proficiency (Word, Excel, Outlook)

Ability to assist with self-management education

Education

BSN

Job description

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.

Sign-On Bonus

$5,000 Sign-On Bonus for External Candidates

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.

Training Schedule

• 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 findingsMake 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 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 experienceExperience with / exposure to discharge planning
• A background in managed care