Telephonic Case Manager RN – Hybrid – Atlanta, GA

This position follows a hybrid schedule with?three in-office days per week.
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.

• 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, to include 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