Care Manager (RN)

Telephonic Case Manager

Location: Remote and yes, once establish a case load, face-to-face visits with members will be required. Distance- up to 70 miles max - no specific location (One of the positions would be needed in Southern GA) – candidates must reside in GA. License must be GA or compact but candidate must reside in GA

Shift: Training 8 am-5pm EST – 4-6 week course & team training – CAMERAS ON – NO TIME OFF IS A MUST. Working schedule 8 am-5pm EST

Duration: 9 months, possible extension or conversion

Start: Monday, 10/26/2026

Job Description

Job Profile Summary: Walk me through the day to day responsibilities of this role and a description of the project:

• Telephonic outreach both inbound and outbound to/from members.
• May need to call providers for coordination of care
• Must be able to use a computer for all documentation working in multiple systems & programs.
• Outbound calls to providers as needed to coordinate care for members.
• Provide health education and resources to members.
• Locate and provide community resources.

Describe the performance expectations/metrics for this individual and their team:

• 20 or greater outreach attempts daily.
• 10 or greater new enrollments each week.
• Active Caseload of 73+ (after 120 days of employment)
• Timely documentation of interactions with members within 24hrs and sending appropriate letters and resources.
• Timely follow up with members at a minimum every 30 days at least 90% or greater of the time.
• Referrals appropriately to other team members (example- Social Work, Behavioral Health, Disease Management, Pharmacy, etc)

What makes this role unique?

• Motivational interviewing and Engagement techniques for cold calls to members about enrollment in CM program.
• Telephonic Case Management with 100% computer-based documentation
• Discharge Planning with documentation computer based
• Medical Surgical Nursing with documentation computer based
• Home Health Nursing with documentation computer based
• Familiar with care for all ages from birth to adults
• Field/Face-to-face visits

Candidate Requirements

Education/Certification - Required: Previous Telephonic CMMedical Surgical Nursing, minimum of 2-3 yearsHome Health (any amount of time)Comfortable working with all age groups from birth to adult - Preferred: CCM

Licensure - Required: Registered Nurse (Bachelors or Associates RN)Must be RN in GA or compact - Preferred: Bachelors

Years of experience required: 2-3 years telephonic CM, Medical Surgical Nursing/home health IN PERSON- minimum of 2-3 yearsDisqualifiers: Must live/reside in Georgia for this role, most recent position must be within the industry, will look at length of experience and gaps (please state if contractor role, please state why the gaps)Additional qualities to look for: NICU background

Top 3 must-have hard skills stack-ranked by importance - 1 - Computer efficiency using Outlook and Microsoft office (primarily Word and basic Excel, Teams chat)

2 - Telephonic experience with members for motivational interviewing and to gather assessment data

3 - Med/Surg & Home Health (ages birth to adult)