Registered Nurse Case Manager

Position Overview

Optum is a global organization that delivers care aided by technology to help millions live healthier lives. As a Telephonic Case Manager RN, you will support a diverse member population by providing education, advocacy, and connections to essential care and resources. Your impact may affect millions over the years and you will work in a culture of inclusion, performance, and continuous career development. This hybrid role includes required onsite training (Monday–Friday, 9am–6pm EST for 3 weeks) followed by a work-from-home schedule (5 days/week, 11:30am–9pm EST) with occasional onsite meetings in our Sandy Springs (Atlanta), GA office.

Compensation: The salary for this role ranges from $58,800 to $105,000 annually based on full-time employment.

Key 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 members receive 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 telephonic case management experience for an insurance company
• Computer proficiency with solid data entry skills and ability to navigate a Windows environment (Word, Outlook, Excel, Internet)
• Ability to travel to the Sandy Springs (Atlanta), GA office based on business needs
• Designated quiet workspace with access to install secure high-speed internet via cable/DSL at home

Preferred Qualifications

• BSN
• Certified Case Manager (CCM)
• Experience in Medical/Surgical, Home Health, Diabetes, Cardiac, or Emergency Room settings
• Experience with acute and chronic disease management across various age groups
• Telephonic case or disease management experience
• Exposure to discharge planning
• Background in managed care

Benefits & Perks

• $5,000 Sign-On Bonus For External Candidates
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase and 401k contribution (all benefits subject to eligibility requirements)