Field-Based RN Case Manager — Home Health Care

Optum; Lynnwood (PA); On-site; USD 92,000 - 137,000; Full time

Benefits offered by this job

Benefits package

401k contribution

Stock purchase plan

Job summary

Optum Home & Community Care, part of Optum, is expanding its Care at Home program and seeking an RN Care Manager in the United States. The RNCM will provide in-home visits, telephonic outreach, and interdisciplinary team support to high-need beneficiaries.

This role emphasizes coordinating care, education, and continuous monitoring to improve health outcomes. The position requires active RN licensure, 2+ years of nursing experience, and the ability to travel up to 75% to patient homes.

Qualifications

• Active unrestricted RN licensure in state of residence and state of assignment.
• 2+ years of nursing experience.
• Ability to travel up to 75% of the time for field-based work.
• Demonstrated success working with diverse care teams in home or non-clinical settings.
• Proficiency with Electronic Medical Records (EMR).

Responsibilities

• Assess patients' health within licensure scope and model of care.
• Set goals to meet identified health care needs.
• Plan, implement, and evaluate responses to the plan of care.
• Collaborate with interdisciplinary team to address medical, functional, and social barriers to care.
• Bridge mental and physical health with available resources.
• Monitor on-call patients and coordinate with APC/RN as needed.
• Consult with PCP, specialists and other health care professionals.
• Assess needs for community resources and make referrals.
• Facilitate transitions between care settings in coordination with providers.
• Document care activities accurately in the EMR.
• Counsel and educate patients and families on health maintenance and follow-up.
• Confirm patient understanding of condition, plan, and next steps.
• Support organizational quality initiatives and best practices.
• Participate in interdisciplinary meetings to improve care integration.
• Initiate internal and external referrals when clinically indicated.
• Maintain licensure, certifications, and CEUs as required.
• Uphold Optum mission and values in patient care.

Skills

RN licensure

Nursing experience

Travel up to 75%

EMR experience

Team collaboration

Communication skills

Tools

EMR systems

Job description

Optum Home & Community Care, part of Optum, is expanding its Care at Home program and seeking an RN Care Manager in the United States. The RNCM will provide in-home visits, telephonic outreach, and interdisciplinary team support to high-need beneficiaries.

This role emphasizes coordinating care, education, and continuous monitoring to improve health outcomes. The position requires active RN licensure, 2+ years of nursing experience, and the ability to travel up to 75% to patient homes.