Telehealth RN Case Manager - Remote Wellness Coach

Archimedes; Atlanta (GA); Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Parental leave

401K matching

Job summary

Archimedes is seeking a Telehealth RN Case Manager to improve member health via telehealth coaching and clinical outreach. The role supports program development, clinical resources, and compliance while coordinating with providers and internal teams.

The RN will lead outreach to members and prescribers, stay updated on guidelines, and ensure adherence to HIPAA, with remote or various office locations in the US.

Qualifications

• RN license in good standing with applicable State Board of Nursing
• ADN or BSN required; BSN preferred
• 2+ years clinical experience including direct consultation
• Clinical call center experience preferred
• PBM industry experience preferred
• Knowledge of data privacy practices and HIPAA regulations

Responsibilities

• Develop clinical algorithms, pathways and call scripts for staff.
• Review and update all algorithms and call scripts yearly with updated guidelines.
• Develop documentation standards for all clinical outreach.
• Collaborate with staff to maintain high quality and consistent product.
• Facilitate communication and education to clients, providers, and internal staff.
• Provide clinical outreach to members, prescribers, and pharmacy providers.
• Stay current with guidelines, literature, recommendations, and medications.
• Maintain open communication with other departments.
• Understand client member experience and how engagement impacts health.
• Adhere to compliance and HIPAA regulations.
• Participate in and support compliance, people & culture, and learning programs.
• Perform other duties as assigned.

Skills

Clinical experience

Call center experience

Multi-disciplinary team

PBM industry

Privacy & HIPAA knowledge

Healthcare practices knowledge

Education

ADN or BSN

BSN preferred

Job description

Archimedes is seeking a Telehealth RN Case Manager to improve member health via telehealth coaching and clinical outreach. The role supports program development, clinical resources, and compliance while coordinating with providers and internal teams.

The RN will lead outreach to members and prescribers, stay updated on guidelines, and ensure adherence to HIPAA, with remote or various office locations in the US.