ED RN Case Manager - Remote - EST or CST Preferred

UnitedHealth Group; Minnesota; Remoto; USD 40.000 - 72.000; Tempo pieno

Vantaggi offerti da questo lavoro

Pay: $29–$52/hour

Remote work option

Full-time, day shift

Descrizione del lavoro

UnitedHealth Group is seeking an ED RN Case Manager to oversee real-time ADT monitoring and proactive outreach, coordinating safe discharges and seamless transitions of care from the ED to subsequent settings.

The role emphasizes collaboration with multidisciplinary teams, documentation accuracy, and adherence to utilization management principles while offering a fully remote work arrangement from Minnesota.

Competenze

• Must have current, unrestricted Multistate RN license.
• 4+ years of clinical experience with acutely ill patients.
• 1+ year in Emergency Department settings.

Mansioni

• Collaborate with ED and outpatient teams to design individualized transition plans for members.
• Serve as clinical liaison with hospital, clinical, and administrative staff for transition of care and care coordination.
• Perform expedited, standard, concurrent, and retrospective reviews at in-network and out-of-network facilities.

Conoscenze

Transition of care coordination

ED RN experience

Interagency communication

ADT monitoring

Formazione

Registered Nurse license (Multistate)

Descrizione del lavoro

About This Role

The ED RN Case Manager is responsible for monitoring real-time 'Admit, Discharge, Transfer' (ADT) notifications, providing proactive patient and provider outreach, and coordinating discharges to support optimal transitions of care. This role is ideal for a flexible candidate who can adapt as the program grows to meet the needs of various populations and markets.

Highlights

• Pay: $29 - $52/hour
• Location: Plymouth, MN
• Schedule: Full Time, Day shift
• Residency: Must have compact licenses and the ability to obtain other RN non-compact License
• Work Style: Fully remote

What You'll Do

• Collaborate with ED and outpatient care teams to establish individualized transition plans for members.
• Serve as the clinical liaison with hospital, clinical, and administrative staff for transition of care/care coordination.
• Perform expedited, standard, concurrent, and retrospective clinical reviews at in-network and/or out-of-network facilities.
• Communicate with ED staff, members, and families to assess discharge needs and formulate discharge plans.
• Monitor real-time ADT feeds to identify member's ED discharge support opportunities and communicate for discharge coordination.
• Conduct transition of care outreach following ED discharge to confirm access and completion of discharge plans.
• Manage assigned case load efficiently utilizing time management skills.
• Demonstrate knowledge of utilization management and care coordination processes for transition planning.
• Enter timely and accurate documentation into designated applications to comply with requirements and achieve audit scores.
• Adhere to organizational and departmental policies and procedures.

Requirements

Education:

• Current, unrestricted Multistate RN license

Experience:

• 4+ years of diverse clinical experience in caring for acutely ill patients
• 1+ years experience working in the Emergency Department

Licenses & Certifications:

• Current RN License in State of employment
• Knowledge of utilization management, quality improvement, and discharge planning

About UnitedHealth Group

UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on making healthcare work better for everyone through innovative solutions and a people-led approach.