Location: R emote 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
Description: Job Profile Summary: Walk me through the day to day responsibilities of this the 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 CM
Medical Surgical Nursing, minimum of 2-3 years
Home 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 years
Disqualifiers: 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) |